PROFESSIONAL DENTAL ALLIANCE (NPI# 1770888943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770888943 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL DENTAL ALLIANCE |
| Practice Address |
721 S Union Ave Alliance OH 44601-2932 |
| Mailing Address |
3800 Boardman Canfield Rd Canfield OH 44406-9029 |
| Practice Telephone | 3308210441 |
| Practice Fax Number | 3305332700 |
| 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 |
| 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 |
| 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 |
721 S UNION AVE |
| City | ALLIANCE |
| State | OH |
| Zip Code | 44601-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407860026 | Robert W. Hepler, D.d.s., Inc. | Dentist | 721 S Union Ave, Alliance, OH 44601-2932 | 2006-07-28 |
| 1407074842 | James A Lucido | Dentist | 721 S Union Ave, Alliance, OH 44601-2932 | 2007-04-23 |
| 1053406082 | Robert Hepler | Dentist | 721 S Union Ave, Alliance, OH 44601-2932 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123149 | Yuna Farah Minosky | Student in an Organized Health Care Education/Training Program | Aultman Alliance Community Hospital, 200 E State St, Alliance, OH 44601 | 2020-04-17 |
| 1386271591 | Easterday Pharmacy LLC | Pharmacy | 1696 S. Arch Ave, Alliance, OH 44601 | 2020-03-26 |
| 1184250185 | Alliance Counseling Services LLC | Social Worker | 2011 Glamorgan St., Suite B, Alliance, OH 44601 | 2020-03-21 |
| 1275175085 | Jennifier Le Wassem | Licensed Practical Nurse | 200 E State St 3rd Floor, Alliance, OH 44601 | 2019-10-14 |
| 1386135200 | Shaleka Mercedes Cameron | Nurse's Aide | 1314 Johnson Ave Apt C, Alliance, OH 44601 | 2018-05-26 |
| 1902315450 | Jordan Taylor Simpson | Student in an Organized Health Care Education/Training Program | 1972 Clark Ave., Alliance, OH 44601 | 2017-09-27 |
| 1750800918 | Roni Host | Counselor | 11800 Sioux Sve Ne, Alliance, OH 44601 | 2017-09-19 |
| 1639696172 | Danbury Woods Alliance | Assisted Living Facility | 1280 S. Sawburg Rd., Alliance, OH 44601 | 2017-08-25 |
| 1982121869 | Alexandra Nicole Sauter | Specialist/Technologist | 1972 Clark Avenue, Alliance, OH 44601 | 2017-08-23 |
| 1639606619 | David Mathew Bishop | Podiatrist | 200 East State St, Alliance Community Hospital, Alliance, OH 44601 | 2017-05-22 |
| Find all providers in zip 44601 | ||||
| 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 |
|---|---|---|---|---|
| 1679905533 | Dellagatta Dental | Dentist | 888 S Sawburg Ave, Alliance, OH 44601-2715 | 2013-08-02 |
| 1245509330 | Penturf Dentistry, LLC | Dentist | 800 S Sawburg Ave, Alliance, OH 44601-2715 | 2011-12-20 |
| 1942536461 | Alliance Dental Clinic LLC | Dentist | 2047 S Rockhill Ave, Alliance, OH 44601-4708 | 2009-10-19 |
| 1831301357 | Barry Wayne Penturf | Dentist | 800 S. Sawburg, Alliance, OH 44601 | 2007-05-04 |
| 1619195013 | Geoffrey M Utterback | Dentist | 1360 S Sawburg Rd, Alliance, OH 44601-3520 | 2007-04-23 |
| 1326192527 | Edward Alan Lohnes | Dentist | 2155 Parkway Blvd, Alliance, OH 44601-4642 | 2007-01-23 |
| 1881756260 | John Randall Crawford | Dentist | 2460 S Union Ave, Alliance, OH 44601-5057 | 2006-12-14 |
| 1891865879 | Gene R. Giles | Dentist | 113 E 5th St, Alliance, NE 69301-3407 | 2006-11-08 |
| 1598834582 | Alliance Dental Clinic PC | Dentist | 2308 Box Butte Ave., Alliance, NE 69301-0586 | 2006-11-06 |
| 1407860026 | Robert W. Hepler, D.d.s., Inc. | Dentist | 721 S Union Ave, Alliance, OH 44601-2932 | 2006-07-28 |
| Find all providers in ALLIANCE | ||||
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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.