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:
Authorized official contact:
Name: Matta, Andrew S Doctor of Dental Medicine (DMD)
Phone: (330) 533-3400
Health care specialties
Specialty | Code | License # | 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 14 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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