Summerlin, Don-John

Summerlin, Don-John is an individual health care provider with primary practice located at 9292 N Meridian St 210, Indianapolis IN 46260-1857. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Summerlin, Don-John can be contacted via phone (317) 843-2204.

Contact Information

Primary practice address
9292 N Meridian St 210 Indianapolis IN 46260-1857
Phone: (317) 843-2204
Fax: (317) 843-2478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 12009088A Indiana

Profile Details

NPI number 1114975018
LBN Legal business name Summerlin, Don-John
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114975018 NPPES
Indiana MEDICAID 20030530A

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