Organization
PINNACLE ONE DENTAL GROUP
Active
Parent organization
PINNACLE ONE DENTAL GROUP
Other names
Cincinnati Dental Services Edgewood Kentucky
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINNACLE ONE DENTAL GROUP
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
599 FREEDOM PARK DR STE 100, CRESTVIEW HILLS, KY 41017-5130
(859) 426-0304
Mailing address
599 FREEDOM PARK DR STE 100, CRESTVIEW HILLS, KY 41017-5130
(859) 426-0304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14417
OH
Other
Enumeration date
07/17/2006
Last updated
02/11/2022
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