Organization
PREMIER DENTAL ALLIANCE LLC
Active
Other names
Modern Dental Assoc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA A PARRY DMD (OWNER)
(724) 836-3368
Entity
Organization
Contact information
Practice address
1040 TOWNE SQUARE DR. SUITE 2, GREENSBURG, PA 15601-5769
(724) 836-3368
(724) 836-1209
Mailing address
234 SOUTH MAIN STREET, HOMER CITY, PA 15748-1560
(724) 349-3368
(724) 717-6141
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
11/18/2024
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