| Premier Dental Alliance Llc | |
|
1177 S 6th St Indiana PA 15701-3759 | |
| (724) 349-3368 | |
| (724) 717-6141 |
| Full Name | Premier Dental Alliance Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1177 S 6th St, Indiana, Pennsylvania |
| Authorized Official Name and Position | Joshua A Parry (DENTIST/OWNER) |
| Authorized Official Contact | 7248363368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Alliance Llc 1177 S 6th St Indiana PA 15701-3759 Ph: (724) 349-3368 | Premier Dental Alliance Llc 1177 S 6th St Indiana PA 15701-3759 Ph: (724) 349-3368 |
| NPI Number | 1144914052 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144914052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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