| Professional Dental Alliance Of Centerville, Llc | |
|
9420 Dayton Lebanon Pike Centerville OH 45458-3860 | |
| (877) 959-5405 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Centerville, Llc |
|---|---|
| Speciality | Dentist |
| Location | 9420 Dayton Lebanon Pike, Centerville, Ohio |
| Authorized Official Name and Position | Lauren Howard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7246982029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Centerville, Llc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: (724) 698-2500 | Professional Dental Alliance Of Centerville, Llc 9420 Dayton Lebanon Pike Centerville OH 45458-3860 Ph: (877) 959-5405 |
| NPI Number | 1922572072 |
|---|---|
| Provider Enumeration Date | 01/11/2019 |
| Last Update Date | 01/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922572072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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