PROFESSIONAL DENTAL ALLIANCE OF SHADYSIDE, LLC
NPI 1124589585
Dentist in Shadyside, OH

Q: What is Professional Dental Alliance Of Shadyside, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since March 28, 2019

3775 CENTRAL AVE, SHADYSIDE, OH 43947(740) 676-2604 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Professional Dental Alliance Of Shadyside, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL DENTAL ALLIANCE OF SHADYSIDE, LLC (NPI 1124589585) is a healthcare organization registered as a dentist in Shadyside, Ohio and active in the NPI registry since March 2019. The organization lists Lauren Howard, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1124589585

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF SHADYSIDE, LLC

Location Address3775 CENTRAL AVEShadyside, OH 43947-1344

Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680

Phone(740) 676-2604

Organization SubpartNo

Authorized OfficialLauren HowardCredentialing Specialist · (724) 698-2029

Enumeration DateMarch 28, 2019

✔ NPI 1124589585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3775 CENTRAL AVE, Shadyside, OH 43947

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMPLETE DENTAL CARE OF SHADYSIDE

Dentist

3775 CENTRAL AVE
SHADYSIDE, OH 43947

Belmont County (740) 676-2604

PATRICK W LONG DDS

Dentist

3775 CENTRAL AVE
SHADYSIDE, OH 43947

Belmont County (740) 676-2604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Dental Alliance Of Shadyside, LLC's NPI number?

The NPI number for Professional Dental Alliance Of Shadyside, LLC is 1124589585. It was assigned to this organization in the NPPES registry on March 28, 2019.

Where is Professional Dental Alliance Of Shadyside, LLC located?

Professional Dental Alliance Of Shadyside, LLC is located at 3775 Central Ave, Shadyside, OH 43947. The listed phone number is (740) 676-2604.

What is Professional Dental Alliance Of Shadyside, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Professional Dental Alliance Of Shadyside, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and DentaQuest Insurance Company Inc- OH list Professional Dental Alliance Of Shadyside, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Professional Dental Alliance Of Shadyside, LLC was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.