Don-John Summerlin in Indianapolis - Oral And Maxillofacial Pathology

Don-John Summerlin - NPI 1114975018

Don-John Summerlin is a Oral And Maxillofacial Pathology in Indianapolis, Indiana. Don-John Summerlin practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Don-John Summerlin is 1114975018. The last update date is 2007-07-08.

Don-John Summerlin's current location address is 9292 N Meridian St, Indianapolis, Indiana. You can contact this provider via phone number 3178432204 and fax number 3178432478. The mailing address for Don-John Summerlin is 9292 N Meridian St, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Don-John Summerlin
Address 9292 N Meridian St, Indianapolis, Indiana
Phone Number 3178432204
Fax Number 3178432478
Sole Proprietor X
Credentials D.M.D.

NPI Number Detail

NPI Number 1114975018
Provider Enumeration Date 2006-05-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9292 N Meridian St
City Indianapolis
State Indiana (IN)
Post Code 462601857
Phone Number 3178432204
Fax Number 3178432478

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No 12009088A
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20030530A IN --

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FAQs about Don-John Summerlin

What is the unique 10-digit identification code assigned to Don-John Summerlin by the Centers for Medicare & Medicaid Services?

The Don-John Summerlin has been issued the NPI (National Provider Identifier) 1114975018, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Don-John Summerlin?

The Don-John Summerlin is situated at 9292 N Meridian St, in the city of Indianapolis, state of IN, with the zip code 462601857.

What is the area of specialization for Don-John Summerlin, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Don-John Summerlin is Oral And Maxillofacial Pathology, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0106X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114975018 to Don-John Summerlin?

The Centers for Medicare & Medicaid Services originally issued the 1114975018 to Don-John Summerlin on 2006-05-04.

When was the Don-John Summerlin's information last updated?

The Don-John Summerlin's information was last updated on 2007-07-08.

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