PROFESSIONAL DENTAL ALLIANCE OF PICKERINGTON, LLC - NPI 1184198236

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

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

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About Professional Dental Alliance Of Pickerington, Llc NPPES

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

PROFESSIONAL DENTAL ALLIANCE OF PICKERINGTON, LLC (NPI 1184198236) is a healthcare organization registered as a dentist in Pickerington, Ohio and active in the NPI registry since January 2019. The organization lists Amanda Kurtz, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1184198236

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF PICKERINGTON, LLC

Location Address11295 STONECREEK DRPickerington, OH 43147-9138

Mailing Address125 Enterprise Dr Ste 200Pittsburgh, PA 15275-1223 · (724) 698-2500

Phone(877) 959-5405

Organization SubpartNo

Authorized OfficialAmanda KurtzCredentialing Specialist · (724) 698-2481

Enumeration DateJanuary 11, 2019

Last NPPES UpdateJune 3, 20252 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1184198236 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.

11295 STONECREEK DR, Pickerington, OH 43147

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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.Insurance ›

Other Providers at the Same Location NPPES 7

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

DR. JOHN CLARK SANDERS D.D.S.

Dentist (General Practice)