NPIMap

Organization Active NPI

Premier Dental Alliance LLC

Doing business as Modern Dental Assoc.

  • Dental Clinic/Center
  • Cresson, PA
National Provider Identifier
1982398806
Registry record updated Jun 5, 2023
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
211 Laurel Ave
Cresson, PA 16630-1118
Phone
(814) 886-5406
Fax
(814) 886-5547
NPI assigned
Jun 5, 2023
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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
Dentist/Owner
Phone
(724) 836-3368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

211 Laurel Ave
Cresson, PA 16630-1118

Mailing address

211 Laurel Ave
Cresson, PA 16630-1118
Phone (814) 886-5406

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

211 Laurel Ave
Cresson, PA 16630
Phone (814) 886-5406

Practitioners & affiliated clinicians

Practitioners 2

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.

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": "1685923200000",
    "number": "1982398806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LAUREL AVE",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301118",
            "telephone_number": "814-886-5406",
            "fax_number": "814-886-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LAUREL AVE",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301118",
            "telephone_number": "814-886-5406",
            "fax_number": "814-886-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "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": "DENTIST/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"
        }
    ]
}

Other providers in Cresson, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.