PINNACLE DERMATOLOGY S.C. NPI 1720814429

NPI Information

  • NPI: 1720814429
  • Provider Name: PINNACLE DERMATOLOGY, S.C.
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Organization
  • Address: 935 WAYZATA BLVD E STE 200
    WAYZATA, MN
    ZIP 55391
  • Phone: (763) 220-8030

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NPI Details

PINNACLE DERMATOLOGY, S.C. is an otolaryngology/facial plastic surgery otolaryngology in Wayzata, MN. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. PINNACLE DERMATOLOGY, S.C. NPI is 1720814429. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

935 WAYZATA BLVD E STE 200
WAYZATA, MN
ZIP 55391-513
Phone: (763) 220-8030

The provider's authorized official is Jose Luis Rios .
The authorized official title is Vice President and has the following contact phone number (815) 744-8554.

The enumeration date for this NPI number is 9/10/2024 and was last updated on 9/26/2024.

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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryYes
22086S0122XSurgeryPlastic and Reconstructive SurgeryNo

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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