| Professional Dental Alliance, Llc | |
|
7043 Pearl Rd Middleburg Heights OH 44130-4973 | |
| (330) 533-3400 | |
| (330) 533-2700 |
| Full Name | Professional Dental Alliance, Llc |
|---|---|
| Speciality | Dentist |
| Location | 7043 Pearl Rd, Middleburg Heights, Ohio |
| Authorized Official Name and Position | Amanda L Kurtz (CREDENTIALING) |
| Authorized Official Contact | 7246982946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance, Llc 125 Enterprise Dr Ste 200 Pittsburgh PA 15275-1223 Ph: (724) 698-2500 | Professional Dental Alliance, Llc 7043 Pearl Rd Middleburg Heights OH 44130-4973 Ph: (330) 533-3400 |
| NPI Number | 1740584226 |
|---|---|
| Provider Enumeration Date | 12/27/2010 |
| Last Update Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740584226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30022469 (Ohio) | Primary |
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