PINNACLE PEAK ORAL SURGERY, PLLC (NPI# 1063893295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063893295 |
| Entity Type | Organization |
| Organization Name | PINNACLE PEAK ORAL SURGERY, PLLC |
| Practice Address |
8575 E Princess Dr Suite #217 Scottsdale AZ 85255-5483 |
| Mailing Address |
3626 Wyandot St Denver CO 80211-2951 |
| Practice Telephone | 4803428200 |
| Mailing Telephone | 3035137371 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |
| Authorized Official Name | EUGENE JUNG KIM (OWNER) |
| Authorized Official Telephone | 3035137371 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
D9251 | AZ | Ambulatory Health Care Facilities |
| Street Address |
8575 E PRINCESS DR SUITE #217 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85255-5483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486310 | Martin Blume | Family Medicine | 8575 E Princess Dr, Suite 111, Scottsdale, AZ 85255-5483 | 2005-06-10 |
| 1295095883 | Gartenberg Family Medicine, Pllc | Family Medicine | 8575 E Princess Dr, Suite # 107, Scottsdale, AZ 85255-5483 | 2012-05-17 |
| 1053684928 | Cardiovascular Consultants, Ltd | Internal Medicine | 8575 E Princess Dr, Suite 115, Scottsdale, AZ 85255-5483 | 2012-02-22 |
| 1740562966 | Preferred Health Management Corporation | Family Medicine | 8575 E Princess Dr, Suite 107, Scottsdale, AZ 85255-5483 | 2011-09-14 |
| 1528385952 | Stephanie Gajus | Naturopath | 8575 E Princess Dr, Suite 111, Scottsdale, AZ 85255-5483 | 2010-04-25 |
| 1770755696 | Symphysis LLC | Internal Medicine | 8575 E Princess Dr, Suite 201, Scottsdale, AZ 85255-5483 | 2008-04-01 |
| 1487837654 | Az Eye Health Pllc | Optometrist | 8575 E Princess Dr, #105, Scottsdale, AZ 85255-5483 | 2007-12-11 |
| 1285841817 | Family Practice Medicine Pllc | Family Medicine | 8575 E Princess Dr, Suite# 207, Scottsdale, AZ 85255-5483 | 2007-05-16 |
| 1982823779 | Morrison Vein Institute Ltd | Phlebology | 8575 E Princess Dr, Suite 223, Scottsdale, AZ 85255-5483 | 2007-04-24 |
| 1508081878 | Compudiagnostics Inc | Radiologic Technologist | 8575 E Princess Dr, Suite 223, Scottsdale, AZ 85255-5483 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| 1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
| 1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
| 1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
| 1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
| 1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
| 1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
| Find all providers in zip 85255 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942703657 | Advanced Implant and Oral Surgery | Clinic/Center | 1325 W 16th St Ste 3, Yuma, AZ 85364-4496 | 2018-03-09 |
| 1679822761 | Southern Arizona Oral & Maxillofacial Surgery, P.C. | Clinic/Center | 6369 E. Tanque Verde Rd., Suite 230, Tucson, AZ 85715-3834 | 2012-09-05 |
| 1164744009 | Midwestern University | Clinic/Center | 5855 W Utopia Road, Glendale, AZ 85308-6500 | 2010-02-19 |
| 1619130465 | Peter A Bassett, Dmd PC | Clinic/Center | 9035 N 43rd Ave Ste C, Phoenix, AZ 85051-3265 | 2008-07-02 |
| 1477063881 | Sonoma Oral & Facial Surgery, Pllc | Clinic/Center | 7400 S Power Rd Ste 136, Gilbert, AZ 85297-9284 | 2017-10-11 |
| 1598152506 | Schneider Oral Surgery Pllc | Clinic/Center | 11030 N Tatum Blvd, F 100, Phoenix, AZ 85028-6073 | 2015-04-17 |
| 1235440504 | Oral and Maxillofacial Associates of Arizona | Clinic/Center | 2855 E Brown Rd, Suite 15, Mesa, AZ 85213-4213 | 2010-07-01 |
| 1649459926 | Joseph G Johansen Dds PC | Clinic/Center | 3048 E Baseline Rd, Suite #105, Mesa, AZ 85204-7286 | 2007-11-02 |
| 1538275011 | Northwest Valley Oral and Facial Surgery PC | Clinic/Center | 16936 W Bell Rd Ste 203, Surprise, AZ 85374-8949 | 2006-08-21 |
| City | SCOTTSDALE |
| Zip Code | 85255 |
Please comment or provide details below to improve the information on PINNACLE PEAK ORAL SURGERY, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.