Organization
PIINNACLE DENTAL PARRTNERS
Active
Parent organization
PINNACLE DENTAL PARTNERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINNACLE DENTAL PARTNERS
Authorized official
MATTHEW TANUVASA (PRESIDENT)
(385) 216-4421
Entity
Organization
Contact information
Practice address
533 W STATE RD STE 201, PLEASANT GROVE, UT 84062-2116
(385) 216-4421
Mailing address
516 W PALO VERDE WAY, IVINS, UT 84738-1207
(385) 216-4421
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223D0001X
Public Health Dentistry
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
08/05/2024
Last updated
10/01/2024
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