# PINNACLE DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043684210
- **Authorized official:** AMISH PATEL D.M.D. (OWNER/DENTIST)
- **Authorized official phone:** (267) 221-9898

## Contact information

- **Practice address:** 1003 W. BALTIMORE PIKE, MEDIA, PA 19063
- **Practice address phone:** (484) 444-2793
- **Mailing address:** 1003 WEST BALTIMORE AVENUE, MEDIA, PA 19063
- **Mailing address phone:** (484) 444-2793
- **Mailing address fax:** (610) 284-7160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS020804L | PA | — |
| 122300000X | Dentist | DS030684L | PA | — |
| 122300000X | Dentist | DS038087 | PA | — |
| 122300000X | Dentist | DS039365 | PA | — |
| 122300000X | Dentist | — | PA | Yes |

## Other

- **Enumeration date:** 11/25/2015
- **Last updated:** 11/25/2015