Provider Demographics
NPI:1760537450
Name:PINNACLE HILLS DENTAL GROUP
Entity Type:Organization
Organization Name:PINNACLE HILLS DENTAL GROUP
Other - Org Name:L.B. STRINGFELLOW. D.D.S., P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRINGFELLOW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:479-254-9494
Mailing Address - Street 1:811 S.E 28TH ST.
Mailing Address - Street 2:STE #7
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712
Mailing Address - Country:US
Mailing Address - Phone:479-254-9494
Mailing Address - Fax:479-254-6850
Practice Address - Street 1:811 SE 28TH ST.
Practice Address - Street 2:STE #7
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712
Practice Address - Country:US
Practice Address - Phone:479-254-9494
Practice Address - Fax:479-254-6850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1223E0200X, 1223G0001X, 1223X0400X
AR1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty