Professional Dental Alliance of Pickerington, LLC
NPI #1184198236 in Pickerington, Ohio
Provider Information
- NPI Number
- 1184198236
- Entity Type
- Organization
- Organization Name
- Professional Dental Alliance of Pickerington, LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 11, 2019
- Last Updated
- Jun 3, 2025
Practice Location
- Address
- 11295 STONECREEK DR
- City
- Pickerington
- State
- Ohio
- ZIP Code
- 43147-9138
- Phone
- (877) 959-5405
Authorized Official
- Name
- AMANDA KURTZ
- Title
- CREDENTIALING SPECIALIST
- Phone
- (724) 698-2481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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