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

Professional Dental Alliance of Pickerington, LLC

Organization Dentist · NPI 1184198236

Professional Dental Alliance of Pickerington, LLC provides Dentist services in Pickerington, 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

11295 Stonecreek Dr
Pickerington, OH 43147-9138
Phone: (877) 959-5405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1184198236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Kurtz — Credentialing Specialist · (724) 698-2481
NPI enumeratedJanuary 11, 2019
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address125 Enterprise Dr Ste 200, Pittsburgh, PA 15275-1223

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