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SUMMIT CITY SMILES
NPI 1083080386
Clinic/Center - Dental in Fort Wayne, IN

Active since August 20, 2015
1330 E STATE BLVD, FORT WAYNE, IN 46805(260) 484-5614 Get Directions Write a Review

NPPES record last updated: August 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summit City Smiles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT CITY SMILES (NPI 1083080386) is a healthcare organization registered as a dental in Fort Wayne, Indiana and active in the NPI registry since August 2015. The organization lists Roger Paul Valliere, President, as its authorized official.

NPPES Registry Identity

NPI1083080386
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSUMMIT CITY SMILES
Location Address1330 E STATE BLVDFort Wayne, IN 46805-4422
Mailing Address1330 E State BlvdFort Wayne, IN 46805-4422 · (260) 484-5614
Phone(260) 484-5614
Organization SubpartNo
Authorized OfficialRoger Paul VallierePresident · (260) 484-5614
Enumeration DateAugust 20, 2015
✔ NPI 1083080386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1330 E STATE BLVD, Fort Wayne, IN 46805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROGER PAUL VALLIERE D.D.S.
Dentist
1330 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 484-5614
DR. BRENDA M VALLIERE DDS
Dentist
1330 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 484-5614
DR. JEFFREY PAUL VALLIERE DDS
Dentist
1330 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 484-5614
DR. RALPH GEORGE MERKEL DDS
Dentist
1330 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 484-5614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit City Smiles's NPI number?

The NPI number for Summit City Smiles is 1083080386. It was assigned to this organization in the NPPES registry on August 20, 2015.

Where is Summit City Smiles located?

Summit City Smiles is located at 1330 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 484-5614.

What is Summit City Smiles's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Summit City Smiles accept?

Health plans from DentaQuest USA Insurance list Summit City Smiles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Summit City Smiles was last updated on August 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.