Organization · Type 2 NPI

Professional Dental Alliance of Centerville, LLC

Oral and Maxillofacial Surgery (Dentist) · Centerville, OH

NPI number 1124672092 Active

Practice location

9420 Dayton Lebanon Pike
Centerville, OH 45458-3860

Mailing address

11 S Mill St Ste 200
New Castle, PA 16101-3680

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

3 other providers at this address

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About NPI 1124672092

Professional Dental Alliance of Centerville, LLC's National Provider Identifier is 1124672092, issued on Jul 30, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Centerville, OH. The record was last updated on Jul 30, 2019.