# PINNACLE ONE DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PINNACLE ONE DENTAL GROUP
- **Other names:** Cincinnati Dental Services Edgewood Kentucky
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184641607
- **Legal business name:** PINNACLE ONE DENTAL GROUP
- **Authorized official:** CELIA HAYES (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-2100

## Contact information

- **Practice address:** 599 FREEDOM PARK DR STE 100, CRESTVIEW HILLS, KY 41017-5130
- **Practice address phone:** (859) 426-0304
- **Mailing address:** 599 FREEDOM PARK DR STE 100, CRESTVIEW HILLS, KY 41017-5130
- **Mailing address phone:** (859) 426-0304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 14417 | OH | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 02/11/2022