Provider Demographics
NPI:1548974074
Name:PINNACLE DENTAL MANAGEMENT
Entity type:Organization
Organization Name:PINNACLE DENTAL MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHEEB
Authorized Official - Middle Name:
Authorized Official - Last Name:JAOUNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-261-6969
Mailing Address - Street 1:380 E BETHANY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-3805
Mailing Address - Country:US
Mailing Address - Phone:972-616-4473
Mailing Address - Fax:
Practice Address - Street 1:380 E BETHANY DR STE 100
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-3805
Practice Address - Country:US
Practice Address - Phone:972-616-4473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental