| Professional Dental Alliance Of Centerville, Llc | |
|
9420 Dayton Lebanon Pike Centerville OH 45458-3860 | |
| (937) 433-8900 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Centerville, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 9420 Dayton Lebanon Pike, Centerville, Ohio |
| Authorized Official Name and Position | Lauren Howard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7575765479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Centerville, Llc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: (757) 576-5479 | Professional Dental Alliance Of Centerville, Llc 9420 Dayton Lebanon Pike Centerville OH 45458-3860 Ph: (937) 433-8900 |
| NPI Number | 1124672092 |
|---|---|
| Provider Enumeration Date | 07/30/2019 |
| Last Update Date | 07/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124672092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Jack E. King Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6460 Far Hills Avenue, Centerville, OH 45459 Phone: 937-433-0830 Fax: 937-433-9530 | |
Modern Dental Professionals-lee,inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6040 Wilmington Pike, Centerville, OH 45459 Phone: 937-778-0150 | |
William J. Hagerty Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7058 Corporate Way, Suite 1, Centerville, OH 45459 Phone: 937-433-8303 Fax: 937-433-0795 | |
Unique Solutions Management Company Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Loop Rd, Centerville, OH 45459 Phone: 937-439-9366 Fax: 937-439-6687 | |
German Burke Orthodontics, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 North Main Street, Centerville, OH 45459 Phone: 937-435-2374 Fax: 937-434-5959 | |
Linty John Varghese Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 Lyons Rd, Centerville, OH 45458 Phone: 937-428-2288 Fax: 937-428-4249 |