Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Professional Dental Alliance of Centerville, LLC

Organization Dentist · NPI 1922572072

Professional Dental Alliance of Centerville, LLC provides Dentist services in Centerville, Ohio. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9420 Dayton Lebanon Pike
Centerville, OH 45458-3860
Phone: (877) 959-5405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1922572072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Kurtz — Lead Credentialing Specialist · (724) 698-2481
NPI enumeratedJanuary 11, 2019
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address125 Enterprise Dr Ste 200, Pittsburgh, PA 15275-1223

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