Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Professional Dental Alliance of Centerville, LLC

Organization Dentist · NPI 1922572072

Professional Dental Alliance of Centerville, LLC is a Dentist 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
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 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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