OrganizationActive
Professional Dental Alliance of Centerville, LLC
NPI 1922572072 · Dentist · Centerville, OH
Provider details
- NPI number
- 1922572072
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Amanda Kurtz, Lead Credentialing Specialist(724) 698-2481
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
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
9420 Dayton Lebanon Pike
Centerville, OH 45458-3860
Phone: (877) 959-5405
Street-level locationGet directions
Mailing address
125 Enterprise Dr Ste 200
Pittsburgh, PA 15275-1223
Registry dates
- Enumerated
- 2019-01-11
- Last updated
- 2025-07-02
- Certified
- 2025-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.