Pinnacle Periodontics & Dental Implant Center

LBN: Pinnacle Periodontics
Pinnacle Periodontics & Dental Implant Center is an health care organization with primary practice located at 1225 Breckenridge Dr #110, Little Rock AR 72205-1558. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Pinnacle Periodontics can be contacted via phone (501) 225-4644, or through Carlisle, Matthew D via phone (501) 225-4644.

Contact Information

Primary practice address
1225 Breckenridge Dr #110 Little Rock AR 72205-1558
Fax: (501) 225-4102
Website:
Authorized official contact:
Name: Carlisle, Matthew D D.D.S., M.S.

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3613 Arkansas

Profile Details

NPI number 1316381445
LBN Legal business name Pinnacle Periodontics
DBA Doing business as Pinnacle Periodontics & Dental Implant Center
Authorized official Carlisle, Matthew D D.D.S., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2013
Last updated Apr 19th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316381445 NPPES
Arkansas MEDICAID 195699631

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