# PROFESSIONAL DENTAL ALLIANCE OF MUSKEGON, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1245792688
- **Authorized official:** LAUREN HOWARD MA (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (724) 698-2029

## Contact information

- **Practice address:** 935 W NORTON AVE STE B, NORTON SHORES, MI 49441-4195
- **Practice address phone:** (231) 739-1300
- **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:** 04/04/2019
- **Last updated:** 04/04/2019