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

Professional Dental Alliance of Pickerington, LLC

Organization Dentist · NPI 1184198236

Professional Dental Alliance of Pickerington, LLC is a Dentist 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
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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 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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