Dr. Don-John Summerlin
Oral and Maxillofacial Pathology
9292 N Meridian St 210
Indianapolis
, Indiana 46260-1857
Dr. Don-John Summerlin
Oral and Maxillofacial Pathology
9292 N Meridian St 210
Indianapolis
, Indiana 46260-1857
(317) 843-2478
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Don-John Summerlin
- 9292 N Meridian St 210
- Indianapolis, IN
- Zip : 46260-1857
- Fax : (317) 843-2478
- Phone : (317) 843-2204
Second Address
- Dr. Don-John Summerlin
- 9292 N Meridian St 210
- Indianapolis, IN
- Zip : 46260-1857
- Fax : (317) 843-2478
- Phone : (317) 843-2204
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 12009088A | IN |
National Provider Identifier
| NPI | 1114975018 |
|---|---|
| Provider Name | Dr. Don-John Summerlin |
| First Address | Indianapolis, IN 46260-1857 |
| Second Address | Indianapolis, IN 46260-1857 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 20030530A | (05) | IN |
| U25097 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.