Advanced Dental Care of Summerlin Place
NPI 1093322026ActiveOrganization· Dentist, General Practice· Indianapolis, IN
Dentist, General Practice in Indianapolis, Indiana, registered in NPPES in September 2020. The authorized official on file is Jack Donald Summerlin, DDS, Owner.
Overview
| NPI | 1093322026 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2020 |
| Last updated in NPPES | Sep 24, 2020 |
| Certified by provider | Sep 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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