Provider Demographics
NPI:1053206284
Name:PINZON, ADRIANA DEL PILAR (DDS)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:DEL PILAR
Last Name:PINZON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ADRIANA
Other - Middle Name:DEL PILAR
Other - Last Name:PINZON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:32600 MONROE CT APT 108B
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-5764
Mailing Address - Country:US
Mailing Address - Phone:786-715-3727
Mailing Address - Fax:
Practice Address - Street 1:22901 MILLCREEK BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5701
Practice Address - Country:US
Practice Address - Phone:786-715-3727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRES.004929390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program