<Unavail>

LBN: Professional Dental Alliance, Llc
<Unavail> is an health care organization with primary practice located at 1730 Schrock Rd , Columbus OH 43229-1575. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Professional Dental Alliance, Llc can be contacted via phone (614) 890-3590, or through Matta, Andrew via phone (724) 698-2500.

Contact Information

Primary practice address
1730 Schrock Rd Columbus OH 43229-1575
Phone: (614) 890-3590
Fax: (614) 890-3597
Website:
Map and Directions
Authorized official contact:
Name: Matta, Andrew
Phone: (724) 698-2500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1356882989
LBN Legal business name Professional Dental Alliance, Llc
DBA Doing business as <Unavail>
Authorized official Matta, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2017
Last updated Mar 15th, 2017 - about 9 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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