Organization
PINNACLE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE MCNELLEY (OFFICE ADMIN)
(386) 672-9884
Entity
Organization
Contact information
Practice address
290 CLYDE MORRIS BLVD STE B1, ORMOND BEACH, FL 32174-8204
(386) 672-9884
Mailing address
290 CLYDE MORRIS BLVD STE B1, ORMOND BEACH, FL 32174-8204
(386) 672-9884
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528323581
—
FL
05
—
1881868289
—
FL
05
—
1952469926
—
FL
Enumeration date
11/12/2024
Last updated
11/22/2024
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