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

Dr. Jack Donald Summerlin III, DDS

Individual provider Dentist · NPI 1902053200

Dr. Jack Donald Summerlin III, DDS is a Dentist in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3351 N Meridian St Ste 105
Indianapolis, IN 46208-4675
Phone: (317) 926-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12011175A (IN)

Record details

NPI number1902053200
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 19, 2008
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020

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