NPIMap

Organization Active NPI

Premier Dental Alliance LLC

Doing business as Modern Dental Assoc.

  • Dental Clinic/Center
  • Greensburg, PA
National Provider Identifier
1144914052
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PREMIER DENTAL ALLIANCE LLC
Doing business as
Modern Dental Assoc.
Practice address
1040 Towne Square Dr. Suite 2
Greensburg, PA 15601-5769
Phone
(724) 836-3368
Fax
(724) 836-1209
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joshua A Parry, DMDNPI 1255737623
Title
Owner
Phone
(724) 836-3368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1040 Towne Square Dr. Suite 2
Greensburg, PA 15601-5769

Mailing address

234 South Main Street
Homer City, PA 15748-1560
Phone (724) 349-3368

Other names 1

  • Modern Dental Assoc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Modern Dental Assoc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1040 Towne Square Dr
Ste 2
Greensburg, PA 15601
Phone (724) 836-3368

1177 S 6th St
Indiana, PA 15701
Phone (724) 349-2371

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1144914052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 SOUTH MAIN STREET",
            "city": "HOMER CITY",
            "state": "PA",
            "postal_code": "157481560",
            "telephone_number": "724-349-3368",
            "fax_number": "724-717-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 TOWNE SQUARE DR. SUITE 2",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015769",
            "telephone_number": "724-836-3368",
            "fax_number": "724-836-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-11-18",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-836-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Dental Assoc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modern Dental Assoc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.