Professional Dental Alliance of Centerville, LLC

NPI #1922572072 in Centerville, Ohio

Provider Information

NPI Number: 1922572072
Entity Type: Organization
Organization Name: Professional Dental Alliance of Centerville, LLC
Primary Specialty: Dentist
Enumeration Date: Jan 11, 2019
Last Updated: Jul 2, 2025

Practice Location

Address: 9420 DAYTON LEBANON PIKE
City: Centerville
State: Ohio
ZIP Code: 45458-3860
Phone: (877) 959-5405

Authorized Official

Name: AMANDA KURTZ
Title: LEAD CREDENTIALING SPECIALIST
Phone: (724) 698-2481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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