PROFESSIONAL DENTAL ALLIANCE OF CHILLICOTHE LLC NPI 1831743798

NPI Information

PROFESSIONAL DENTAL ALLIANCE OF CHILLICOTHE, LLC is an oral and maxillofacial surgery dentist in Chillicothe, OH. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. PROFESSIONAL DENTAL ALLIANCE OF CHILLICOTHE, LLC NPI is 1831743798. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1849 N BRIDGE ST
CHILLICOTHE, OH
ZIP 45601-110
Phone: (740) 773-2222

The provider's authorized official is Lauren Howard .
The authorized official title is Credentialing Specialist and has the following contact phone number (757) 576-5479.

The enumeration date for this NPI number is 7/30/2019 and was last updated on 7/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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