# ADVANCED DENTAL CARE OF SUMMERLIN PLACE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093322026
- **Authorized official:** DR. JACK DONALD SUMMERLIN III DDS (OWNER)
- **Authorized official phone:** (317) 409-8819

## Contact information

- **Practice address:** 3351 N MERIDIAN ST STE 105, INDIANAPOLIS, IN 46208-4674
- **Practice address phone:** (317) 926-5200
- **Mailing address:** 3351 N MERIDIAN ST STE 105, INDIANAPOLIS, IN 46208-4674
- **Mailing address phone:** (317) 926-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2020
- **Last updated:** 09/24/2020