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SUMMERLIN DENTAL LLC
NPI 1902452055
Dentist in Indianapolis, IN

Active since August 14, 2019
3351 N MERIDIAN ST STE 105, INDIANAPOLIS, IN 46208(317) 926-5200(317) 947-1663 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summerlin Dental Llc NPPES

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

SUMMERLIN DENTAL LLC (NPI 1902452055) is a healthcare organization registered as a dentist in Indianapolis, Indiana and active in the NPI registry since August 2019. The organization lists Jack Donald Summerlin, Owner, as its authorized official.

NPPES Registry Identity

NPI1902452055
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSUMMERLIN DENTAL LLC
Location Address3351 N MERIDIAN ST STE 105Indianapolis, IN 46208-4674
Mailing Address3351 N Meridian St Ste 105Indianapolis, IN 46208-4674 · (317) 926-5200
Phone(317) 926-5200
Fax(317) 947-1663
Organization SubpartNo
Authorized OfficialJack Donald SummerlinOwner · (317) 926-5200
Enumeration DateAugust 14, 2019
✔ NPI 1902452055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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 STE 105, Indianapolis, IN 46208
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

ADVANCED DENTAL CARE OF SUMMERLIN PLACE
Dentist (General Practice)
3351 N MERIDIAN ST STE 105
INDIANAPOLIS, IN 46208
Marion County (317) 926-5200
DR. SCOTT PATRICK SUTTON DDS
Dentist (General Practice)
3351 N MERIDIAN ST STE 105
INDIANAPOLIS, IN 46208
Marion County (317) 926-5200

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 Summerlin Dental LLC's NPI number?

The NPI number for Summerlin Dental LLC is 1902452055. It was assigned to this organization in the NPPES registry on August 14, 2019.

Where is Summerlin Dental LLC located?

Summerlin Dental LLC is located at 3351 N Meridian St Ste 105, Indianapolis, IN 46208. The listed phone number is (317) 926-5200.

What is Summerlin Dental LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Summerlin Dental LLC was last updated on August 14, 2019. 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.