Professonal Dental Alliance of Xenia, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PROFESSONAL DENTAL ALLIANCE OF XENIA, LLC

Practice address

1114 N Monroe Dr
Xenia, OH 45385-1620

Phone

(877) 959-5405

NPI assigned

Jan 11, 2019

Organization subpart

No

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

Authorized official

Name

Lauren Howard, MA

Title

Credentialing Specialist

Phone

(724) 698-2029

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Zaino

  • General Practice Dentistry
  • Xenia, OH
  • NPI 1568975274
  NPD (past)

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1871067934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S MILL ST STE 200",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013680",
            "telephone_number": "724-698-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 N MONROE DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851620",
            "telephone_number": "877-959-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSONAL DENTAL ALLIANCE OF XENIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "724-698-2029",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Health Specialists Inc (OBGyn of Greene County)
• Gabriella Madalyn Price, CPHT
• Lavonna S Price
• Rachel Price
• Pristine Senior Living of Xenia, LLC
• Albert Puckett, CPRS
• Allan Dallas Puckett, LPN
• Tamico Pulliam
• Leslie Pulver, RN
• Saidee Purcell

• Dentist in Xenia, OH
• Providers in Xenia, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.