# PREMIER DENTAL ALLIANCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern Dental Assoc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396439204
- **Authorized official:** DR. JOSHUA A PARRY DMD (DENTIST/OWNER)
- **Authorized official phone:** (724) 836-3368

## Contact information

- **Practice address:** 1040 TOWNE SQUARE DR STE 2, GREENSBURG, PA 15601-5787
- **Practice address phone:** (724) 836-3368
- **Practice address fax:** (724) 836-1209
- **Mailing address:** 1040 TOWNE SQUARE DR STE 2, GREENSBURG, PA 15601-5787
- **Mailing address phone:** (724) 836-3368
- **Mailing address fax:** (724) 836-1209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2023
- **Last updated:** 06/05/2023