OrganizationActive
Summit City Smiles
NPI 1083080386 · Dental Clinic/Center · Fort Wayne, IN
Summit City Smiles is a Dental Clinic/Center organization in Fort Wayne, IN (NPI 1083080386).
Provider details
- NPI number
- 1083080386
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Roger Valliere, President(260) 484-5614
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1330 E State Blvd
Fort Wayne, IN 46805-4422
Phone: (260) 484-5614
Street-level locationGet directions
Mailing address
1330 E State Blvd
Fort Wayne, IN 46805-4422
Registry dates
- Enumerated
- 2015-08-20
- Last updated
- 2015-08-20
Frequently asked questions
- What is Summit City Smiles's NPI number?
- Summit City Smiles's National Provider Identifier (NPI) is 1083080386, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summit City Smiles?
- Summit City Smiles is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Summit City Smiles located?
- Summit City Smiles's practice location on file with NPPES is 1330 E State Blvd, Fort Wayne, IN 46805-4422.
- What is Summit City Smiles's phone number?
- The practice phone number listed in the NPPES registry for Summit City Smiles is (260) 484-5614.
- Who is the authorized official for Summit City Smiles?
- The authorized official listed on Summit City Smiles's NPPES record is Roger Valliere, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summit City Smiles's NPI active?
- Yes — Summit City Smiles's NPI (1083080386) is active in the NPPES registry as of the last update on 2015-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.