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Contact Information

ADVANCED DENTAL CARE OF SUMMERLIN PLACE
3351 N MERIDIAN ST STE 105
INDIANAPOLIS, IN46208-4674
 Phone: 317-926-5200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL CARE OF SUMMERLIN PLACE

NPI Number 1093322026
LBN Legal business name ADVANCED DENTAL CARE OF SUMMERLIN PLACE
Authorized official JACK SUMMERLIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/24/2020
Last updated 09/24/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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