Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pinnacle Dermatology, SC

Organization Otolaryngology/Facial Plastic Surgery Physician · NPI 1720814429

Pinnacle Dermatology, SC is an Otolaryngology/Facial Plastic Surgery Physician in Wayzata, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

935 Wayzata Blvd E Ste 200
Wayzata, MN 55391-2513
Phone: (763) 220-8030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X

Record details

NPI number1720814429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Rios — Vice President · (815) 744-8554
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing addressPo Box 734240, Chicago, IL 60673-4240

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