Pinnacle One Dental Group

NPI #1295115343 in Milford, Ohio

Provider Information

NPI Number: 1295115343
Entity Type: Organization
Organization Name: Pinnacle One Dental Group
Subpart: Yes (part of a larger organization)
Parent Organization: PINNACLE ONE DENTAL GROUP
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 4, 2015
Last Updated: Feb 11, 2022

Practice Location

Address: 5976 MEIJER DR STE 110B
City: Milford
State: Ohio
ZIP Code: 45150-2191
Phone: (513) 712-1085

Authorized Official

Name: CELIA HAYES
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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