Professional Dental Alliance

  • 1790179992 NPI Number
  • |
  • Actived: 9 years ago
  • |
Professional Dental Alliance is a health care provider based in Cleveland, OH. The NPI Number is 1790179992 and it has been active since 9 years ago. The specialty is Dentist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Dentist services, Professional Dental Alliance is an excellent option. We are here to help you get the care you need.

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Overview of Professional Dental Alliance

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 03/25/2015
  • Last updated: 03/25/2015

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 30-023665
  • License State: OH

Provider Mailing Address

  • Address: 11 S Mill St
    New Castle, PA 16101
  • Phone: 724-698-2500
  • Fax:

Provider Practice Location

  • Address: 11201 Shaker Blvd
    136
    Cleveland, OH 44104
  • Phone: 216-368-7238
  • Fax:

Authorized Official

  • Name: DR. Andrew Matta D.D.S.
  • Position/Title: Chief Medical Officer
  • Telephone Number: 724-674-2965

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 30-023665
  • License State: OH
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 30023665
  • Identifier Type: Other
  • Identifier State: OH
  • Issuer: LICENSE NUMBER

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Professional Dental Alliance?
  • A: The npi number for Professional Dental Alliance is 1790179992.
  • Q: What are Professional Dental Alliance's specialties?
  • A: Professional Dental Alliance's specialties are Dentist and different specialities.
  • Q: Where is Professional Dental Alliance business practice location?
  • A: Professional Dental Alliance business practice location is 11201 Shaker Blvd, Cleveland, OH 44104.
  • Q: How to contact Professional Dental Alliance?
  • A: You can contact Professional Dental Alliance via 216-368-7238.
  • Q: What is the authorized official for Professional Dental Alliance?
  • A: The authorized office name is DR. Andrew Matta D.D.S. with position/title is Chief Medical Officer and you can reach the authorized official via phone number 7246742965.
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