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PINNACLE PEAK ORAL SURGERY PLLC NPI 1063893295


NPI Information

NPI: 1063893295
Provider Name: PINNACLE PEAK ORAL SURGERY, PLLC
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
8575 E PRINCESS DR
SUITE #217
SCOTTSDALE, AZ
ZIP 85255
Phone: (480) 342-8200
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PINNACLE PEAK ORAL SURGERY, PLLC is an oral and maxillofacial surgery clinic center in Scottsdale, AZ. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. PINNACLE PEAK ORAL SURGERY, PLLC NPI is 1063893295. The provider is registered as an organization entity type.

The provider's business location address is:

8575 E PRINCESS DR
SUITE #217
SCOTTSDALE, AZ
ZIP 85255-483
Phone: (480) 342-8200

The provider's authorized official is Eugene Jung Kim .
The authorized official title is Owner and has the following contact phone number (303) 513-7371.

The enumeration date for this NPI number is 6/12/2015 and was last updated on 6/12/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryD9251ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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