PROFESSIONAL DENTAL ALLIANCE (NPI# 1316242001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316242001 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL DENTAL ALLIANCE |
| Practice Address |
8274 Youngstown Pittsburgh Rd Poland OH 44514-2809 |
| Mailing Address |
3800 Boardman Canfield Rd Canfield OH 44406-9029 |
| Practice Telephone | 3307570880 |
| Practice Fax Number | 3305332700 |
| Mailing Telephone | 3305333400 |
| Mailing Fax Number | 3305332700 |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |
| Authorized Official Name | ANDREW S MATTA (MEMBER) |
| Authorized Official Telephone | 3305333400 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | PROFESSIONAL DENTAL ALLIANCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30022469 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790179992 | Professional Dental Alliance | Dentist | 11201 Shaker Blvd, 136, Cleveland, OH 44104-3869 | 2015-03-25 |
| 1407151673 | Professional Dental Alliance | Dentist | 7043 Pearl Rd, Middleburg Heights, OH 44130-4973 | 2011-01-20 |
| 1952606121 | Professional Dental Alliance | Dentist | 750 E Washington St, Suite A3, Medina, OH 44256-2196 | 2011-01-20 |
| 1457656621 | Professional Dental Alliance | Dentist | 6540 South Ave, Boardman, OH 44512-3651 | 2011-01-20 |
| 1962707133 | Professional Dental Alliance | Dentist | 6285 Youngstown Warren Rd, Niles, OH 44446-4656 | 2011-01-20 |
| 1508161779 | Professional Dental Alliance | Dentist | 12808 Drexmore Rd, Shaker Heights, OH 44120-5609 | 2011-01-20 |
| 1447555610 | Professional Dental Alliance | Dentist | 1951 State Route 59, Suite B, Kent, OH 44240-8128 | 2011-01-20 |
| 1083919252 | Professional Dental Alliance | Dentist | 99 Debartolo Pl, Boardman, OH 44512-7014 | 2011-01-20 |
| 1891090064 | Professional Dental Alliance | Dentist | 3729 Lee Rd, Shaker Heights, OH 44120-5103 | 2011-01-20 |
| 1770888943 | Professional Dental Alliance | Dentist | 721 S Union Ave, Alliance, OH 44601-2932 | 2011-01-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PROFESSIONAL DENTAL ALLIANCE OF BETHEL, PLLC | 11 South Mill Street, Suite 200, New Castle, PA 16101 |
| Connecticut Business Registrations | Professional Dental Alliance of Colchester, Pllc | 11 South Mill Street, Suite 200, New Castle, PA 16101 |
| Connecticut Business Registrations | PROFESSIONAL DENTAL ALLIANCE OF CONNECTICUT, PLLC | 11 South Mill St Ste 200, New Castle, PA 16101 |
| Connecticut Business Registrations | Professional Dental Alliance of Ct 07009 - 07014 Ortho, Pllc | 11 S. Mill St., Ste. 200, New Castle, PA 16101 |
| Connecticut Business Registrations | PROFESSIONAL DENTAL ALLIANCE OF CT 07009 - 07014 PEDS, PLLC | 11 S. Mill St., Ste. 200, New Castle, PA 16101 |
| Indiana Business Entities | PROFESSIONAL DENTAL ALLIANCE OF INDIANA, LLC | 11 S Mill St, Ste 200, New Castle, PA 16101 |
| Connecticut Business Registrations | PROFESSIONAL DENTAL ALLIANCE OF MILFORD, PLLC | 11 South Mill Street, Suite 200, New Castle, PA 16101 |
| New York State Corporations | PROFESSIONAL DENTAL ALLIANCE OF NEW YORK, PLLC | 80 State Street, Albany, Ny 122072543 |
| Connecticut Business Registrations | PROFESSIONAL DENTAL ALLIANCE OF NORTHFORD, PLLC | 11 South Mill Street, Suite 20, New Castle, PA 16101 |
| Connecticut Business Registrations | PROFESSIONAL DENTAL ALLIANCE OF NORWALK, PLLC | 11 South Mill Street, Suite 200, New Castle, PA 16101 |
| Street Address |
8274 YOUNGSTOWN PITTSBURGH RD |
| City | POLAND |
| State | OH |
| Zip Code | 44514-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033412994 | Andrew S Matta Dmd Poland LLC | Dentist | 8274 Youngstown Pittsburgh Rd, Poland, OH 44514-2809 | 2010-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456351 | Apex Neuropsychology Center LLC | Psychologist | 819 Southwestern Run #2, Poland, OH 44514 | 2020-01-14 |
| 1770844540 | Marie Josephine Bosio | Counselor | 7711 Forest Hill Ave, Poland, OH 44514 | 2012-06-07 |
| 1912205709 | Joseph Ivey | Occupational Therapy Assistant | 5781 Sheridan Rd. #5, Poland, OH 44514 | 2011-03-03 |
| 1770816316 | M. Maurine Fogarty | Speech-Language Pathologist | 7067 Tiffany Blvd., Poland, OH 44514 | 2009-09-15 |
| 1346462819 | Millennia Women's Healthcare, Inc | Obstetrics & Gynecology | 1040 South Commons, Suite 100, Poland, OH 44514 | 2007-05-03 |
| 1619090891 | Foundation Health Care, Inc. | Family Medicine | 755 Boardman-canfiled Road, Suite F5, Youngstown, OH 44514 | 2007-04-10 |
| 1770605339 | Luis E. Villaplana M.d.,inc | Internal Medicine | 823 Southwestern Run, Youngstown, OH 44514 | 2007-04-04 |
| 1720109127 | Stevens Optical | Technician/Technologist | 1714 Boardman-poland Rd., Boardman, OH 44514 | 2007-04-03 |
| 1568515385 | Jacqueline Ann Chorey | Counselor | 2250 E Western Reserve Rd, Poland, OH 44514 | 2007-01-18 |
| 1790834190 | James E Leonelli | Obstetrics & Gynecology | 1040 South Commons Place, Youngstown, OH 44514 | 2007-01-09 |
| Find all providers in zip 44514 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033412994 | Andrew S Matta Dmd Poland LLC | Dentist | 8274 Youngstown Pittsburgh Rd, Poland, OH 44514-2809 | 2010-12-15 |
| 1770629115 | Cesar Augustin | Dentist | 1320 Boardman Poland Rd Ste C, Poland, OH 44514-1934 | 2007-01-30 |
| 1043316904 | Sarat Nalluri | Dentist | 7067 Tiffany Blvd Ste 260, Poland, OH 44514-1958 | 2006-09-16 |
| 1194828509 | Kathleen Ann Houk | Dentist | 2600 E Middletown Rd, Poland, OH 44514-3064 | 2006-09-07 |
| 1275646341 | Terrence P Flinn | Dentist | 3 W Mckinley Way, Poland, OH 44514-3904 | 2006-08-16 |
| 1831507698 | Jared Carl Appel | Dentist | 147 N Main St, Poland, OH 44514-1633 | 2014-07-24 |
| 1508038712 | Sarat Nalluri, Dds, Inc. | Dentist | 7067 Tiffany Blvd Ste 260, Poland, OH 44514-1958 | 2008-03-27 |
| 1780706259 | James N. Kozlow D.d.s. Inc. | Dentist | 207 S Main St, Poland, OH 44514-2070 | 2007-04-04 |
| 1356463723 | James N Kozlow | Dentist | 207 S Main St, Poland, OH 44514-2070 | 2007-04-04 |
| 1023186822 | Robert Michael Maruschak | Dentist | 20 E Mckinley Way, Ste#2, Poland, OH 44514-2071 | 2006-12-01 |
| Find all providers in POLAND | ||||
Please comment or provide details below to improve the information on PROFESSIONAL DENTAL ALLIANCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.