| Professional Dental Alliance Of Pickerington, Llc | |
| 
					11295 Stonecreek Dr Pickerington OH 43147-9138  | |
| (877) 959-5405 | |
| Not Available | 
| Full Name | Professional Dental Alliance Of Pickerington, Llc | 
|---|---|
| Speciality | Dentist | 
| Location | 11295 Stonecreek Dr, Pickerington, Ohio | 
| Authorized Official Name and Position | Amanda Kurtz (CREDENTIALING SPECIALIST) | 
| Authorized Official Contact | 7246982481 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Professional Dental Alliance Of Pickerington, Llc 125 Enterprise Dr Ste 200 Pittsburgh PA 15275-1223 Ph: (724) 698-2500  | Professional Dental Alliance Of Pickerington, Llc 11295 Stonecreek Dr Pickerington OH 43147-9138 Ph: (877) 959-5405  | 
| NPI Number | 1184198236 | 
|---|---|
| Provider Enumeration Date | 01/11/2019 | 
| Last Update Date | 06/03/2025 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184198236 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary | 
Phillip D Katz Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 W Columbus St, Pickerington, OH 43147 Phone: 614-837-4506 Fax: 614-837-0192  | |
J. Clarke Sanders D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11295 Stonecreek Dr, Pickerington, OH 43147 Phone: 614-864-3196 Fax: 614-864-3192  | |
Scarlet Dental Katie Vincer Sears Dds Of Pickerington Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 W Columbus St, Pickerington, OH 43147 Phone: 614-829-7703 Fax: 614-829-7811  | |
Joshua M. Leavitt D.m.d., M.s. Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 Diley Rd., Pickerington, OH 43147 Phone: 614-863-8500 Fax: 614-863-0874  | |
Manraj S. Bath, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1575 Cross Creeks Blvd., Pickerington, OH 43147 Phone: 614-751-7500 Fax: 614-322-7900  | |
Pinnacle Orthodontics, Inc. - Robert N. Pham, D.d.s., M.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Stonecreek Dr S, Suite 102, Pickerington, OH 43147 Phone: 614-866-3411 Fax: 614-866-2544  |