MEDICARE: DR. MICHAEL DANIEL PINHOLSTER DDS

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
1	1223G0001X	General Practice Dentistry	1608	NM
2	122300000X	Dentist	DN26256	FL

General Provider Information

NPI Number	:	1134147317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL DANIEL PINHOLSTER DDS

Provider Business Mailing Address
First Line	:	4755 HIGHWAY A1A
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32963
Country	:	US
Telephone Number	:	772-231-6004
Fax Number	:	772-231-7249

Provider Business Practice Location Address
First Line	:	4755 HIGHWAY A1A
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32963
Country	:	US
Telephone Number	:	772-231-6004
Fax Number	:	772-231-7249

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	09/07/2021

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