Individual provider · Type 1 NPI

Jack Donald Summerlin Iii, DDS

Dentist · Indianapolis, IN

NPI number 1902053200 Active

Practice location

3351 N Meridian St, Suite 105
Indianapolis, IN 46208-4675

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X12011175A (IN)

Dentist: 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 requiremen…

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About NPI 1902053200

Jack Donald Summerlin Iii, DDS's National Provider Identifier is 1902053200, issued on Aug 19, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 28, 2020.