Professional Dental Alliance of Centerville, LLC
NPI 1124672092 · Oral and Maxillofacial Surgery (Dentist) · Centerville, OH
Professional Dental Alliance of Centerville, LLC is a Oral and Maxillofacial Surgery (Dentist) organization in Centerville, OH (NPI 1124672092).
Provider details
- NPI number
- 1124672092
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Lauren Howard, Credentialing Specialist(757) 576-5479
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-07-30
- Last updated
- 2019-07-30
Frequently asked questions
- What is Professional Dental Alliance of Centerville, LLC's NPI number?
- Professional Dental Alliance of Centerville, LLC's National Provider Identifier (NPI) is 1124672092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Dental Alliance of Centerville, LLC?
- Professional Dental Alliance of Centerville, LLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Professional Dental Alliance of Centerville, LLC located?
- Professional Dental Alliance of Centerville, LLC's practice location on file with NPPES is 9420 Dayton Lebanon Pike, Centerville, OH 45458-3860.
- What is Professional Dental Alliance of Centerville, LLC's phone number?
- The practice phone number listed in the NPPES registry for Professional Dental Alliance of Centerville, LLC is (937) 433-8900.
- Who is the authorized official for Professional Dental Alliance of Centerville, LLC?
- The authorized official listed on Professional Dental Alliance of Centerville, LLC's NPPES record is Lauren Howard, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Dental Alliance of Centerville, LLC's NPI active?
- Yes — Professional Dental Alliance of Centerville, LLC's NPI (1124672092) is active in the NPPES registry as of the last update on 2019-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.