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Professional Dental Alliance of Pickerington, LLC

Dentist in Pickerington, OH · enumerated 2019 · authorized official Amanda Kurtz, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184198236

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Registry record

Entity type Organization (Type 2)
Legal business name Professional Dental Alliance of Pickerington, LLC
Practice address 11295 Stonecreek Dr, Pickerington, OH, 43147
Phone (877) 959-5405
Enumeration date Jan 11, 2019
Last updated in NPPES Jun 3, 2025

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Amanda Kurtz
Title Credentialing Specialist
Phone (724) 698-2481

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Professional Dental Alliance of Pickerington, LLC located?
The practice location on file with NPPES is in Pickerington, OH.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-03. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-03.