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NPI Code Detail

MEDICARE: PINNACLE DENTAL CARE P.C.

MEDICARE: PINNACLE DENTAL CARE P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist056858NY

General Provider Information

NPI Number : 1043505522
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINNACLE DENTAL CARE P.C.
Provider Business Mailing Address
First Line : 2336 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10458-6903
Country : US
Telephone Number : 718-220-0439
Fax Number : 718-933-2914
Provider Business Practice Location Address
First Line : 2336 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10458-6903
Country : US
Telephone Number : 718-220-0439
Fax Number : 718-933-2914
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALLA GIZERSKAYA
Credential : DMD
Telephone Number : 718-220-0439
Provider Enumeration Date : 06/13/2011
Last Update Date : 08/26/2014

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Directions to “PINNACLE DENTAL CARE P.C. ” Practice Location

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