Professional Dental Alliance

LBN: Professional Dental Alliance
Professional Dental Alliance is an health care organization with primary practice located at 99 Debartolo Pl , Boardman OH 44512-7014. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Professional Dental Alliance can be contacted via phone (330) 758-2348, or through Matta, Andrew S via phone (330) 533-3400.

Contact Information

Primary practice address
99 Debartolo Pl Boardman OH 44512-7014
Phone: (330) 758-2348
Fax: (330) 533-2700
Website:
Map and Directions
Authorized official contact:
Name: Matta, Andrew S Doctor of Dental Medicine (DMD)
Phone: (330) 533-3400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30022469 Ohio

Profile Details

NPI number 1083919252
LBN Legal business name Professional Dental Alliance
DBA Doing business as
Authorized official Matta, Andrew S Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 20th, 2011
Last updated Jan 20th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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