PINNACLE ADVANCED DENTISTRY LLC
NPI 1417669045
Clinic/Center - Dental in Nephi, UT

Active since December 14, 2022

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pinnacle Advanced Dentistry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINNACLE ADVANCED DENTISTRY LLC (NPI 1417669045) is a healthcare organization registered as a dental in Nephi, Utah and active in the NPI registry since December 2022. The organization maintains a secondary practice location in Fillmore and lists Scott William Petersen, Manager, as its authorized official.

NPPES Registry Identity

NPI1417669045
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePINNACLE ADVANCED DENTISTRY LLC
Location Address310 N 400 ENephi, UT 84648-1558
Mailing Address310 N 400 ENephi, UT 84648-1558 · (435) 623-1916
Organization SubpartNo
Authorized OfficialScott William PetersenManager · (435) 623-1916
Enumeration DateDecember 14, 2022
NPPES CertifiedDecember 14, 2022
NPI 1417669045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
310 N 400 E, Nephi, UT 84648

Secondary Practice Location 1

Location 1140 S Main StFillmore, UT 84631-5506 · Phone (435) 743-6521

Other Identifiers 2

Other1295931046UT · Npi Number
Other1992052401Npi Number

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
310 N 400 E
NEPHI, UT 84648
Dentist (General Practice)
310 N 400 E
NEPHI, UT 84648
Dentist (General Practice)
310 N 400 E
NEPHI, UT 84648

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pinnacle Advanced Dentistry LLC's NPI number?

The NPI number for Pinnacle Advanced Dentistry LLC is 1417669045. It was assigned to this organization in the NPPES registry on December 14, 2022.

Where is Pinnacle Advanced Dentistry LLC located?

Pinnacle Advanced Dentistry LLC is located at 310 N 400 E, Nephi, UT 84648. The listed phone number is (435) 623-1916.

What is Pinnacle Advanced Dentistry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Pinnacle Advanced Dentistry LLC was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.