Organization
PROFESSIONAL DENTAL ALLIANCE OF WARREN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA KURTZ (CREDENTIALING SPECIALIST)
(724) 698-2946
Entity
Organization
Contact information
Practice address
4329 MAHONING AVE NW STE B, WARREN, OH 44483-1974
(330) 847-7373
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
07/03/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up