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PINNACLE IMPLANTS AND PERIODONTICS
NPI 1417802810
Dentist - Periodontics in Longview, TX

Active since March 02, 2026
444 FOREST SQ STE A, LONGVIEW, TX 75605(903) 758-3329 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, Mar 2, 2026 (2 updates tracked since 2026).

About Pinnacle Implants And Periodontics NPPES

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

PINNACLE IMPLANTS AND PERIODONTICS (NPI 1417802810) is a healthcare organization registered as a periodontics in Longview, Texas and active in the NPI registry since March 2026. The organization maintains a secondary practice location in Texarkana and lists Jennifer Heritage, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1417802810
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePINNACLE IMPLANTS AND PERIODONTICS
Location Address444 FOREST SQ STE ALongview, TX 75605-4463
Mailing Address444 Forest Sq Ste ALongview, TX 75605-4463 · (903) 758-3329
Phone(903) 758-3329
Organization SubpartNo
Authorized OfficialJennifer HeritageCredentialing Manager · (402) 805-4516
Enumeration DateMarch 2, 2026
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1417802810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
444 FOREST SQ STE A, Longview, TX 75605
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Secondary Practice Location 1

Location 14210 McKnight RdTexarkana, TX 75503-0922 · Phone (903) 838-0511 · Fax (903) 838-0523

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ERICK EVANDRO DI MATTEO
Dentist (Periodontics)
444 FOREST SQ STE A
LONGVIEW, TX 75605
Gregg County (903) 758-3329

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 Implants And Periodontics's NPI number?

The NPI number for Pinnacle Implants And Periodontics is 1417802810. It was assigned to this organization in the NPPES registry on March 2, 2026.

Where is Pinnacle Implants And Periodontics located?

Pinnacle Implants And Periodontics is located at 444 Forest Sq Ste A, Longview, TX 75605. The listed phone number is (903) 758-3329.

What is Pinnacle Implants And Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Pinnacle Implants And Periodontics was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.