PROFESSIONAL DENTAL ALLIANCE (NPI# 1407151673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407151673 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL DENTAL ALLIANCE |
| Practice Address |
7043 Pearl Rd Middleburg Heights OH 44130-4973 |
| Mailing Address |
3800 Boardman Canfield Rd Canfield OH 44406-9029 |
| Practice Telephone | 4408457900 |
| Practice Fax Number | 3305333400 |
| Mailing Telephone | 3305333400 |
| Mailing Fax Number | 3305332700 |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |
| 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 |
| 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 |
| 1548565849 | Professional Dental Alliance | Dentist | 101 S Main St, Poland, OH 44514-2062 | 2011-01-18 |
| 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 |
7043 PEARL RD |
| City | MIDDLEBURG HEIGHTS |
| State | OH |
| Zip Code | 44130-4973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225216831 | Cambridge Home Health Care Inc | Home Health | 7043 Pearl Rd, Suite 260, Middleburg Heights, OH 44130-4977 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| 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 |
|---|---|---|---|---|
| 1568632057 | Allcare Dental & Dentures of Ohio - Bates | Dentist | 18342 Bagley Rd, Middleburg Heights, OH 44130-3411 | 2008-03-11 |
| 1801970835 | Jyoti Sagar | Dentist | 6849 Pearl Rd # C, Middleburg Heights, OH 44130-3616 | 2006-10-25 |
| 1780694042 | Walter T. Kania Dds, Inc | Dentist | 7155 Pearl Rd, Middleburg Heights, OH 44130-4945 | 2006-08-09 |
| 1437177185 | Rhea A Nicklow | Dentist | 7043 Pearl Rd Ste 210, Middleburg Heights, OH 44130-4976 | 2006-07-18 |
| 1497214381 | Middleburg Heights Magic Dentistry LLC - Michael Crites Dds | Dentist | 7123 Pearl Rd Ste 100, Middleburg Heights, OH 44130-4944 | 2019-03-19 |
| 1255814885 | The Danczak Dental Group Inc | Dentist | 7083 Pearl Rd, Middleburg Heights, OH 44130-4940 | 2018-09-10 |
| 1861751521 | Care Dental | Dentist | 6849 C Pearl Rd, Middleburg Heights, OH 44130 | 2012-05-15 |
| 1932223823 | Jeffrey Joseph Hildebrandt | Dentist | 17535 Rosbough Blvd, #203, Middleburg Heights, OH 44130-8361 | 2007-03-18 |
| 1902959398 | Villie Rohinton Nuggud | Dentist | 7215 Old Oak Blvd, Ste A-418, Middleburg Heights, OH 44130-3340 | 2007-01-19 |
| 1508937434 | Bina Shah | Dentist | 6950 W 130th St, Middleburg Heights, OH 44130-7809 | 2006-11-13 |
| Find all providers in MIDDLEBURG HEIGHTS | ||||
| City | MIDDLEBURG HEIGHTS |
| Zip Code | 44130 |
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| 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.