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

Professional Dental Alliance of Shadyside, LLC

Organization Dentist · NPI 1124589585

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

3775 Central Ave
Shadyside, OH 43947-1344
Phone: (740) 676-2604
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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 number1124589585
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Howard — Credentialing Specialist · (724) 698-2029
NPI enumeratedMarch 28, 2019
Last updated in NPPESMarch 28, 2019
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

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