Organization
PINNACLE IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE DAVID LAIZURE (PRODUCTION MANAGER)
(623) 388-4932
Entity
Organization
Contact information
Practice address
15333 N PIMA RD, SUITE 103, SCOTTSDALE, AZ 85260
(623) 388-4932
(602) 298-1391
Mailing address
15333 N PIMA RD, SUITE 103, SCOTTSDALE, AZ 85260
(623) 388-4932
(602) 298-1391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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