Pinnacle Pediatric Dentistry, Pllc | |
1006 Ace Dr Berea KY 40403-1327 | |
(859) 286-6999 | |
(859) 406-1333 |
Full Name | Pinnacle Pediatric Dentistry, Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1006 Ace Dr, Berea, Kentucky |
Authorized Official Name and Position | Eric Jacobson (MEMBER) |
Authorized Official Contact | 8594209187 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pinnacle Pediatric Dentistry, Pllc 272 Deerfield Ln Lexington KY 40511-8784 Ph: (859) 420-9187 | Pinnacle Pediatric Dentistry, Pllc 1006 Ace Dr Berea KY 40403-1327 Ph: (859) 286-6999 |
NPI Number | 1528714615 |
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Provider Enumeration Date | 02/27/2022 |
Last Update Date | 02/27/2022 |
Identifier | Type | State | Issuer |
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1528714615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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