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

Professional Dental Alliance of Kettering, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1558915322

Professional Dental Alliance of Kettering, LLC is an Oral and Maxillofacial Surgery (Dentist) in Kettering, 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

4055 Far Hills Ave
Kettering, OH 45429-2440
Phone: (937) 299-3691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1558915322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Howard — Credentialing Specialist · (757) 576-5479
NPI enumeratedJuly 30, 2019
Last updated in NPPESJuly 30, 2019
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

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