# SUMMIT DENTAL LLC

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

## Provider details

- **NPI number:** 1972882736
- **Authorized official:** DR. CHRISTOPHER HULEN DDS (PRESIDENT)
- **Authorized official phone:** (574) 772-3541

## Contact information

- **Practice address:** 1006 S EDGEWOOD DR, SUITE A, KNOX, IN 46534-8226
- **Practice address phone:** (574) 772-3541
- **Mailing address:** 1006 EDGEWOOD DRIVE, SUITE A, KNOX, IN 46534-8226
- **Mailing address phone:** (574) 772-3541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009766 | IN | Yes |

## Other

- **Enumeration date:** 08/11/2011
- **Last updated:** 08/11/2011