Organization
PROFESSIONAL DENTAL ALLIANCE OF PICKERINGTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA KURTZ (CREDENTIALING SPECIALIST)
(724) 698-2481
Entity
Organization
Contact information
Practice address
11295 STONECREEK DR, PICKERINGTON, OH 43147-9138
(877) 959-5405
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
(724) 698-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
06/03/2025
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