PINNACLE DENTISTRY NPI 1588488092

NPI Information

  • NPI: 1588488092
  • Provider Name: PINNACLE DENTISTRY
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 290 CLYDE MORRIS BLVD STE B1
    ORMOND BEACH, FL
    ZIP 32174
  • Phone: (386) 672-9884

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NPI Details

PINNACLE DENTISTRY is a dental clinic center in Ormond Beach, FL. PINNACLE DENTISTRY NPI is 1588488092. The provider is registered as an organization entity type.

The provider's business location address is:

290 CLYDE MORRIS BLVD STE B1
ORMOND BEACH, FL
ZIP 32174-204
Phone: (386) 672-9884

The provider's authorized official is Grace Mcnelley .
The authorized official title is Office Admin and has the following contact phone number (386) 672-9884.

The enumeration date for this NPI number is 11/12/2024 and was last updated on 11/22/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11528323581MEDICAIDFLORIDA
21881868289MEDICAIDFLORIDA
31952469926MEDICAIDFLORIDA

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: 11/21/2025

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