| Professional Dental Alliance Of Newark, Llc | |
|
233 N 21st St Newark OH 43055-4232 | |
| (877) 959-5405 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Newark, Llc |
|---|---|
| Speciality | Dentist |
| Location | 233 N 21st St, Newark, Ohio |
| Authorized Official Name and Position | Amanda Kurtz (LEAD CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7246982946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Newark, Llc 125 Enterprise Dr Ste 200 Pittsburgh PA 15275-1223 Ph: () - | Professional Dental Alliance Of Newark, Llc 233 N 21st St Newark OH 43055-4232 Ph: (877) 959-5405 |
| NPI Number | 1740754894 |
|---|---|
| Provider Enumeration Date | 01/11/2019 |
| Last Update Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740754894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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