Individual
DR. DON-JOHN SUMMERLIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9292 N MERIDIAN ST, 210, INDIANAPOLIS, IN 46260-1857
(317) 843-2204
(317) 843-2478
Mailing address
9292 N MERIDIAN ST, 210, INDIANAPOLIS, IN 46260-1857
(317) 843-2204
(317) 843-2478
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
12009088A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20030530A
—
IN
Enumeration date
05/04/2006
Last updated
07/08/2007
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