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ADVANCED DENTAL CARE OF FORTVILLE, LLC
NPI 1205454014
Clinic/Center - Dental in Fortville, IN

Active since July 08, 2020
545 VITALITY DR STE F, FORTVILLE, IN 46040(317) 485-7000 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Dental Care Of Fortville, Llc NPPES

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

ADVANCED DENTAL CARE OF FORTVILLE, LLC (NPI 1205454014) is a healthcare organization registered as a dental in Fortville, Indiana and active in the NPI registry since July 2020. The organization lists Jack Summerlin, Owner, as its authorized official.

NPPES Registry Identity

NPI1205454014
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameADVANCED DENTAL CARE OF FORTVILLE, LLC
Location Address545 VITALITY DR STE FFortville, IN 46040-1373
Mailing Address545 Vitality Dr Ste FFortville, IN 46040-1373 · (317) 485-7000
Phone(317) 485-7000
Organization SubpartNo
Authorized OfficialJack SummerlinOwner · (765) 485-7000
Enumeration DateJuly 8, 2020
NPPES CertifiedJuly 8, 2020
✔ NPI 1205454014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
545 VITALITY DR STE F, Fortville, IN 46040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Advanced Dental Care Of Fortville, LLC's NPI number?

The NPI number for Advanced Dental Care Of Fortville, LLC is 1205454014. It was assigned to this organization in the NPPES registry on July 8, 2020.

Where is Advanced Dental Care Of Fortville, LLC located?

Advanced Dental Care Of Fortville, LLC is located at 545 Vitality Dr Ste F, Fortville, IN 46040. The listed phone number is (317) 485-7000.

What is Advanced Dental Care Of Fortville, LLC's specialty?

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

What insurance does Advanced Dental Care Of Fortville, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, DentaQuest USA Insurance and UnitedHealthcare list Advanced Dental Care Of Fortville, LLC 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 Advanced Dental Care Of Fortville, LLC was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.