Organization
PINNACLE ADVANCED DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WILLIAM PETERSEN DMD (MANAGER)
(435) 623-1916
Entity
Organization
Contact information
Practice address
310 N 400 E, NEPHI, UT 84648-1558
(435) 623-1916
Mailing address
310 N 400 E, NEPHI, UT 84648-1558
(435) 623-1916
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295931046
NPI NUMBER
UT
01
—
1992052401
NPI NUMBER
—
Enumeration date
12/14/2022
Last updated
12/14/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us