# PROFESSIONAL DENTAL ALLIANCE OF BRIGHTON, 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
- **Other names:** Woodland Lake Family Dental PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538671730
- **Authorized official:** ERICA QUINTEROS (CREDENTIALING)
- **Authorized official phone:** (724) 901-1964

## Contact information

- **Practice address:** 8127 GRAND RIVER RD, BRIGHTON, MI 48114-9375
- **Practice address phone:** (810) 229-6740
- **Mailing address:** 125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
- **Mailing address phone:** (724) 698-2500

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2017
- **Last updated:** 04/08/2024