# PROFESSIONAL DENTAL ALLIANCE OF BETHEL PARK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144783135
- **Authorized official:** LAUREN HOWARD MA (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (724) 698-2029

## Contact information

- **Practice address:** 6259 LIBRARY RD, BETHEL PARK, PA 15102-4015
- **Practice address phone:** (412) 854-2444
- **Mailing address:** 11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2019
- **Last updated:** 04/08/2019