Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Summit City Smiles

Organization Dental Clinic/Center · NPI 1083080386

Summit City Smiles is a Dental Clinic/Center in Fort Wayne, Indiana. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

1330 E State Blvd
Fort Wayne, IN 46805-4422
Phone: (260) 484-5614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1083080386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Valliere — President · (260) 484-5614
NPI enumeratedAugust 20, 2015
Last updated in NPPESAugust 20, 2015
Mailing address1330 E State Blvd, Fort Wayne, IN 46805-4422

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