Jack Donald Summerlin in Indianapolis - General Practice
Jack Donald Summerlin - NPI 1669591541
Jack Donald Summerlin is a General Practice in Indianapolis, Indiana. Jack Donald Summerlin practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Donald Summerlin is 1669591541. The last update date is 2007-07-08.
Jack Donald Summerlin's current location address is 3351 N Meridian St, Indianapolis, Indiana. You can contact this provider via phone number 3179265200. The mailing address for Jack Donald Summerlin is 3351 N Meridian St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Donald Summerlin |
|---|---|
| Address | 3351 N Meridian St, Indianapolis, Indiana |
| Phone Number | 3179265200 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1669591541 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3351 N Meridian St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462084479 |
| Phone Number | 3179265200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 7904 |
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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. |
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Post Comment/ Review Below
What is the unique identification code assigned to Jack Donald Summerlin by the Centers for Medicare & Medicaid Services?
The Jack Donald Summerlin has been issued the NPI (National Provider Identifier) 1669591541. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jack Donald Summerlin is physically located?
The Jack Donald Summerlin is situated at the following address: 3351 N Meridian St, Indianapolis, IN 462084479.
What is the Jack Donald Summerlin's specialty and taxonomy code?
The Jack Donald Summerlin's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1669591541 to Jack Donald Summerlin?
The Centers for Medicare & Medicaid Services assigned the 1669591541 to Jack Donald Summerlin on 2007-03-29.
As of what date was the information regarding Jack Donald Summerlin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Donald Summerlin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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