DR. JACK DONALD SUMMERLIN III D.D.S.
NPI 1902053200
Dentist in Indianapolis, IN

Q: What is Jack Summerlin's NPI number?

The NPI number for Jack Summerlin is 1902053200. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Q: What is Jack Summerlin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Summerlin was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 19, 2008

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

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2020, Feb 25, 2016 (2 updates tracked since 2016).

On this page

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

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

DR. JACK DONALD SUMMERLIN III D.D.S. (NPI 1902053200) is an individual dentist in Indianapolis, Indiana, licensed in Indiana (12011175A) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1902053200

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JACK DONALD SUMMERLIN IIICredential: D.D.S.

Location Address3351 N MERIDIAN ST, SUITE 105Indianapolis, IN 46208-4675

Mailing Address3351 N Meridian St, Suite 105Indianapolis, IN 46208-4675 · (317) 926-5200

Phone(317) 926-5200

Sole ProprietorNo

Enumeration DateAugust 19, 2008

Last NPPES UpdateDecember 28, 20202 updates tracked since enumeration

NPPES CertifiedDecember 28, 2020

✔ NPI 1902053200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12011175A

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

DR. JACK DONALD SUMMERLIN II D.D.S.

Dentist (General Practice)

3351 N MERIDIAN ST, SUITE 105
INDIANAPOLIS, IN 46208

Marion County (317) 926-5200

J DONALD SUMMERLIN II

Dentist (General Practice)

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 1902053200. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

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 with taxonomy code 122300000X.

What insurance does Jack Summerlin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 14 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 December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.