Piinnacle Dental Parrtners

NPI #1629808779 in Pleasant Grove, Utah

Provider Information

NPI Number: 1629808779
Entity Type: Organization
Organization Name: Piinnacle Dental Parrtners
Subpart: Yes (part of a larger organization)
Parent Organization: PINNACLE DENTAL PARTNERS
Primary Specialty: Dentist
Enumeration Date: Aug 5, 2024
Last Updated: Oct 1, 2024

Practice Location

Address: 533 W STATE RD STE 201
City: Pleasant Grove
State: Utah
ZIP Code: 84062-2116
Phone: (385) 216-4421

Authorized Official

Name: MATTHEW TANUVASA
Title: PRESIDENT
Phone: (385) 216-4421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Dental Public Health — Dental Public Health	1223D0001X
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - General Practice — General Practice	1223G0001X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dental Hygienist	124Q00000X
Dentist	122300000X	Primary

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