OrganizationActive
Advanced Dental Care of Fortville, LLC
NPI 1205454014 · Dental Clinic/Center · Fortville, IN
Provider details
- NPI number
- 1205454014
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Summerlin, Owner(765) 485-7000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
545 Vitality Dr Ste F
Fortville, IN 46040-1373
Phone: (317) 485-7000
Approximate (ZIP-level) locationGet directions
Mailing address
545 Vitality Dr Ste F
Fortville, IN 46040-1373
Registry dates
- Enumerated
- 2020-07-08
- Last updated
- 2020-07-08
- Certified
- 2020-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.