Pinnacle Dental Group PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PINNACLE DENTAL GROUP PLLC

Practice address

1262 N Macomb St
Monroe, MI 48162-3197

Phone

(734) 241-6166

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Dawlat Hasso, DDSNPI 1699884767

Title

President

Phone

(248) 379-3093

Specialties & licenses 2

Addresses

Other names 1

• Life Touch Smiles Doing business as

Locations

Practitioners 1

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

• Dawlat G Hasso, DDS

  • Dentist
  • Monroe, MI
  • NPI 1699884767

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691884800000",
    "number": "1841979523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 GLYNDEBOURNE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982212",
            "telephone_number": "248-379-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623197",
            "telephone_number": "734-241-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A",
        "authorized_official_last_name": "HASSO",
        "authorized_official_first_name": "DAWLAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-379-3093",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Touch Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Touch Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Dawn Pilarz, RD
• Jenna Pilkington
• Kaitlin Pingilley
• Pinkus Dermatopathology Laboratory, PC
• Pinkus Dermatopathology Laboratory, PC
• Tracy Lynn Pittman, LPC
• Tamika Darcelle Pitts, LPN
• Annmarie Patrice Pizzo
• Kathleen Irene Pizzo, M.A., LLPC, SCL
• Linette R Plummer, LPN

• Durable Medical Equipment & Medical Supplies in Monroe, MI
• Providers in Monroe, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2023; 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.