Pinnacle Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS036970 Issued in PA

Legal business name

PINNACLE ORAL SURGERY

Practice address

233 Northern Blvd
Suite 5
South Abington Township, PA 18411-8720

Phone

(570) 586-5300

NPI assigned

Jun 2, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Lin, DDS MDNPI 1578731386

Title

Oral and Maxillofacial Surgeon

Phone

(570) 586-5300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Lin, DDS MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Scranton, PA
  • NPI 1578731386
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1013365808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 NORTHERN BLVD",
            "address_2": "SUITE 5",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184118720",
            "telephone_number": "570-586-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 NORTHERN BLVD",
            "address_2": "SUITE 5",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184118720",
            "telephone_number": "570-586-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "570-586-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS036970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Paulus, MS, NCC
• Martin C Penetar, DO
• Amanda Lynn Petrosky, M.S. CCC-SLP
• Rayna Pfeil, PT, MSPT
• Regina M Pidich, NP
• Pivot Physical Therapy of Pennsylvania, LLC
• Barbara Plucknett, MD
• Lauren Nicole Polanin, PA-C
• Gabrielle Poster, MSN, APRN, FNP-C
• Joshua Prall, DPT

• Oral and Maxillofacial Surgery (Dentist) in South Abington Township, PA
• Providers in South Abington Township, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.