# PROFESSIONAL DENTAL ALLIANCE OF ROCHESTER, 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:** 1871005074
- **Authorized official:** ANNETTE MARLOW (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (724) 698-2119

## Contact information

- **Practice address:** 600 N MAIN ST STE 100, ROCHESTER, MI 48307-1491
- **Practice address phone:** (248) 652-1010
- **Mailing address:** 11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
- **Mailing address phone:** (724) 968-2500

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2017
- **Last updated:** 10/27/2017