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DR. JACK DONALD SUMMERLIN II D.D.S.
NPI 1669591541
Dentist - General Practice in Indianapolis, IN

Active since March 29, 2007
3351 N MERIDIAN ST, SUITE 105, INDIANAPOLIS, IN 46208(317) 926-5200 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Donald Summerlin Ii D.d.s. NPPES

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

DR. JACK DONALD SUMMERLIN II D.D.S. (NPI 1669591541) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (7904) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1669591541
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACK DONALD SUMMERLIN IICredential: D.D.S.
Location Address3351 N MERIDIAN ST, SUITE 105Indianapolis, IN 46208-4479
Mailing Address3351 N Meridian St, Suite 105Indianapolis, IN 46208-4479 · (317) 926-5200
Phone(317) 926-5200
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669591541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 7904
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3351 N MERIDIAN ST, Indianapolis, IN 46208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.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.

RICHARD KURTZ MD PROFESSIONAL CORPORATION
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
3351 N MERIDIAN ST, SUITE 100
INDIANAPOLIS, IN 46208
Marion County (317) 926-9117
J DONALD SUMMERLIN II
Dentist (General Practice)
3351 N MERIDIAN ST, SUITE 105
INDIANAPOLIS, IN 46208
Marion County (317) 926-5200
DR. JACK DONALD SUMMERLIN III D.D.S.
Dentist
3351 N MERIDIAN ST, SUITE 105
INDIANAPOLIS, IN 46208
Marion County (317) 926-5200
SUMMERLIN OTOLOGY INC
Otolaryngology
3351 N MERIDIAN ST, SUITE 100
INDIANAPOLIS, IN 46208
Marion County (317) 923-5439

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 Jack Summerlin's NPI number?

The NPI number for Jack Summerlin is 1669591541. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Jack Summerlin located?

Jack Summerlin practices at 3351 N Meridian St Suite 105, Indianapolis, IN 46208. The listed phone number is (317) 926-5200.

What is Jack Summerlin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jack Summerlin accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jack Summerlin 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 Jack Summerlin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.