Pinnacle Periodontics and Dental Implant Reconstruction, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

055869-1 Issued in NY

Legal business name

PINNACLE PERIODONTICS AND DENTAL IMPLANT RECONSTRUCTION, LLC

Practice address

1631 Crescent Rd
Clifton Park, NY 12065-6802

Phone

(518) 631-6444

Fax

(414) 499-3605

NPI assigned

Nov 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Williams, DMD

Title

President

Phone

(518) 631-6444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1447527007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 CRESCENT RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120656802",
            "telephone_number": "518-631-6444",
            "fax_number": "414-499-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 CRESCENT RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120656802",
            "telephone_number": "518-631-6444",
            "fax_number": "414-499-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PERIODONTICS AND DENTAL IMPLANT RECONSTRUCTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-631-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "055869-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine G C Pfeiffer, PT
• Karen Phillips, MSPT
• Quentin Phung, MD
• Physical Therapy Associates of Schenectady
• Kelly Pickett
• Joseph Ponessa III, PT
• Jose Posada, MD
• Tatyana Poviliunas, PMHNP
• Grisha Pradhan
• Carie Preece

• Dental Clinic/Center in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.