# PREMIER DENTAL ALLIANCE LLC

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

## Provider details

- **NPI number:** 1477247393
- **Authorized official:** DR. JOSHUA A PARRY DMD (DENTIST/OWNER)
- **Authorized official phone:** (724) 836-3368

## Contact information

- **Practice address:** 312 N CHESTNUT ST, SCOTTDALE, PA 15683-1551
- **Practice address phone:** (724) 887-7860
- **Practice address fax:** (724) 887-3378
- **Mailing address:** 312 N CHESTNUT ST, SCOTTDALE, PA 15683-1551
- **Mailing address phone:** (724) 887-7860
- **Mailing address fax:** (724) 887-3378

## Taxonomy

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

## Other

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