SUMMERLIN DENTAL LLC (NPI# 1902452055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902452055 |
| Entity Type | Organization |
| Organization Name | SUMMERLIN DENTAL LLC |
| Practice Address |
3351 N Meridian St Ste 105 Indianapolis IN 46208-4674 |
| Practice Telephone | 3179265200 |
| Practice Fax Number | 3179471663 |
| Mailing Telephone | 3179265200 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | DR. JACK DONALD SUMMERLIN III (OWNER) |
| Authorized Official Telephone | 3179265200 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SUMMERLIN DENTAL LLC | 3308 Rivers Bend Place, Suffolk, VA 23435 |
| Street Address |
3351 N MERIDIAN ST STE 105 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46208-4674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322026 | Advanced Dental Care of Summerlin Place | Dentist | 3351 N Meridian St Ste 105, Indianapolis, IN 46208-4674 | 2020-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650924 | Kristine M Sullivan | Dietitian, Registered | 2700 Doctor M.l.k. Jr St., Indianapolis, IN 46208 | 2017-03-13 |
| 1760877591 | Michael A. Davis, D.d.s. Family Dental LLC | Dentist | 3737 N. Meridian Ste. 410, Indianapolis, IN 46208 | 2015-03-30 |
| 1831432574 | Curtis Stennett | Psychiatry & Neurology | 563 W Westfield Blvd, Indianapolis, IN 46208 | 2013-04-01 |
| 1417206392 | Planned Parenthood of Indiana Midtown | Clinic/Center | 3750 N. Meridian St., Suite 100, Indianapolis, IN 46208 | 2012-09-06 |
| 1629216932 | Mary Carol Calloway Follman | Occupational Therapist | 5502 N. Kenwood Ave., Indianapolis, IN 46208 | 2009-01-23 |
| 1871760751 | Jacob Odell Roberts | Chiropractor | 2413 N Meridian St, Indianapolis, IN 46208 | 2008-05-10 |
| 1285846360 | Midwest Residential Services, Inc. | Preferred Provider Organization | 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208 | 2007-05-03 |
| 1881814879 | Cheryl Ann Moore | Social Worker | 3171 N. Meridian Street, Indianapolis, IN 46208 | 2007-05-01 |
| 1679612881 | Kenneth Ackles Sr. | Chiropractor | 3231 North Meridian Street, Suite 502, Indianapolis, IN 46208 | 2007-02-05 |
| 1013062918 | William D. Alexy | Psychologist | 6110 N. Meridian, W.dr, Indianapolis, IN 46208 | 2007-01-24 |
| Find all providers in zip 46208 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | 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 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193591 | Urgent Dental Center Sw LLC | Dentist | 2907 Kentucky Ave Ste A, Indianapolis, IN 46221-2103 | 2020-08-06 |
| 1861027732 | Kendall Thomas Sands | Dentist | 508 Indiana Ave # 3106, Indianapolis, IN 46202-3106 | 2020-03-11 |
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1255986808 | Ashton Monique Green | Dentist | 9940 Pendleton Pike Ste B, Indianapolis, IN 46236-2823 | 2019-08-09 |
| 1497317309 | Alyssa Marie Hoover | Dentist | 5406 S Emerson Ave, Indianapolis, IN 46237-1970 | 2019-07-01 |
| 1487215455 | Affordable Dentures & Implants - East Indianapolis, P.C. | Dentist | 9749 E Washington St Ste A2, Indianapolis, IN 46229-3035 | 2019-06-21 |
| 1023676178 | Urgent Dental Center South LLC | Dentist | 8925 Madison Ave Ste C, Indianapolis, IN 46227-6257 | 2019-06-04 |
| 1629539697 | Kyle A Harrison | Dentist | 6820 Parkdale Pl Ste 117, Indianapolis, IN 46254-4699 | 2019-03-30 |
| 1659832012 | Renew Dental Arts, LLC | Dentist | 2205 N Delaware St Ste 103, Indianapolis, IN 46205-4363 | 2019-03-28 |
| 1871061309 | Global Smiles Dental 5 LLC | Dentist | 3410 N High School Rd # Bf, Indianapolis, IN 46224-1742 | 2018-11-02 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46208 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.