Provider Demographics
NPI:1851746366
Name:PINNACLE DENTAL CARE
Entity Type:Organization
Organization Name:PINNACLE DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMARCO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:609-296-8700
Mailing Address - Street 1:345 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TUCKERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08087-2805
Mailing Address - Country:US
Mailing Address - Phone:609-296-8700
Mailing Address - Fax:609-294-4770
Practice Address - Street 1:1500 MEETING HOUSE RD
Practice Address - Street 2:
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-2220
Practice Address - Country:US
Practice Address - Phone:732-722-8787
Practice Address - Fax:732-722-8786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty