PROFESSIONAL DENTAL ALLIANCE OF CENTERVILLE, LLC
NPI 1922572072
Dentist in Centerville, OH

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

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

Active since January 11, 2019

9420 DAYTON LEBANON PIKE, CENTERVILLE, OH 45458(877) 959-5405 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2025, Jan 11, 2019 (2 updates tracked since 2019).

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About Professional Dental Alliance Of Centerville, Llc NPPES

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

PROFESSIONAL DENTAL ALLIANCE OF CENTERVILLE, LLC (NPI 1922572072) is a healthcare organization registered as a dentist in Centerville, Ohio and active in the NPI registry since January 2019. The organization lists Amanda Kurtz, Lead Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1922572072

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF CENTERVILLE, LLC

Location Address9420 DAYTON LEBANON PIKECenterville, OH 45458-3860

Mailing Address125 Enterprise Dr Ste 200Pittsburgh, PA 15275-1223 · (724) 698-2500 · Fax (844) 399-0385

Phone(877) 959-5405

Organization SubpartNo

Authorized OfficialAmanda KurtzLead Credentialing Specialist · (724) 698-2481

Enumeration DateJanuary 11, 2019

Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration

NPPES CertifiedJuly 2, 2025

✔ NPI 1922572072 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.

9420 DAYTON LEBANON PIKE, Centerville, OH 45458

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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 3

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

PROFESSIONAL DENTAL ALLIANCE OF CENTERVILLE, LLC

Dentist (Oral and Maxillofacial Surgery)

9420 DAYTON LEBANON PIKE
CENTERVILLE, OH 45458

Montgomery County (937) 433-8900

DR. ZACHARY ALAN DAVIS DDS

Dentist (General Practice)

9420 DAYTON LEBANON PIKE
CENTERVILLE, OH 45458

Montgomery County (877) 959-5405

DR. ETHAN MARK JONES DDS

Dentist

9420 DAYTON LEBANON PIKE
CENTERVILLE, OH 45458

Montgomery County (937) 433-8900

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 Centerville, LLC's NPI number?

The NPI number for Professional Dental Alliance Of Centerville, LLC is 1922572072. It was assigned to this organization in the NPPES registry on January 11, 2019.

Where is Professional Dental Alliance Of Centerville, LLC located?

Professional Dental Alliance Of Centerville, LLC is located at 9420 Dayton Lebanon Pike, Centerville, OH 45458. The listed phone number is (877) 959-5405.

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

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

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

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Professional Dental Alliance Of Centerville, 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 Centerville, LLC was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.