| Professonal Dental Alliance Of Worthington, Llc | |
|
150 E Wilson Bridge Rd Ste 150 Worthington OH 43085-2394 | |
| (614) 888-0377 | |
| Not Available |
| Full Name | Professonal Dental Alliance Of Worthington, Llc |
|---|---|
| Speciality | Dentist |
| Location | 150 E Wilson Bridge Rd Ste 150, Worthington, Ohio |
| Authorized Official Name and Position | Erica Quinteros (CREDENTIALING ENROLLMENT MANAGER) |
| Authorized Official Contact | 7249011964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professonal Dental Alliance Of Worthington, Llc 125 Enterprise Dr Ste 200 Pittsburgh PA 15275-1223 Ph: (724) 698-2500 | Professonal Dental Alliance Of Worthington, Llc 150 E Wilson Bridge Rd Ste 150 Worthington OH 43085-2394 Ph: (614) 888-0377 |
| NPI Number | 1356815401 |
|---|---|
| Provider Enumeration Date | 01/11/2019 |
| Last Update Date | 01/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356815401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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