IndividualActive
Don-John Summerlin, D.M.D.
NPI 1114975018 · Oral and Maxillofacial Pathology Dentistry · Indianapolis, IN
Provider details
- NPI number
- 1114975018
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- License
- 12009088A (IN)
Specialties & taxonomies
Dental Providers
Practice location
9292 N Meridian St
210
Indianapolis, IN 46260-1857
Phone: (317) 843-2204
Fax: (317) 843-2478
Approximate (ZIP-level) locationGet directions
Mailing address
9292 N Meridian St
Indianapolis, IN 46260-1857
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.