Professional Dental Alliance Of Kettering, Llc | |
4055 Far Hills Ave Kettering OH 45429-2440 | |
(877) 959-5405 | |
Not Available |
Full Name | Professional Dental Alliance Of Kettering, Llc |
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Speciality | Dentist |
Location | 4055 Far Hills Ave, Kettering, 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 |
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Professional Dental Alliance Of Kettering, Llc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: (724) 698-2500 | Professional Dental Alliance Of Kettering, Llc 4055 Far Hills Ave Kettering OH 45429-2440 Ph: (877) 959-5405 |
NPI Number | 1588136337 |
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Provider Enumeration Date | 12/18/2018 |
Last Update Date | 12/18/2018 |
Identifier | Type | State | Issuer |
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1588136337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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