Professional Dental Alliance Specialty, Llc

LBN: Professional Dental Alliance Specialty, Llc
Professional Dental Alliance Specialty, Llc is an health care organization with primary practice located at 6540 South Ave , Boardman OH 44512-3651. The organization recently has 10 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Radiology, Dental Providers / Denturist. Dental Providers / Dentist is the primary health care specialty. Professional Dental Alliance Specialty, Llc can be contacted via phone (330) 721-0606, or through Quinteros, Erica via phone (724) 901-1964.

Contact Information

Primary practice address
6540 South Ave Boardman OH 44512-3651
Phone: (330) 721-0606
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Quinteros, Erica
Phone: (724) 901-1964

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Ohio
Dental Providers / Endodontics 1223E0200X Ohio
Dental Providers / General Practice 1223G0001X Ohio
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X Ohio
Dental Providers / Pediatric Dentistry 1223P0221X Ohio
Dental Providers / Periodontics 1223P0300X Ohio
Dental Providers / Prosthodontics 1223P0700X Ohio
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X Ohio
Dental Providers / Oral and Maxillofacial Radiology 1223X0008X Ohio
Dental Providers / Denturist 122400000X Ohio

Profile Details

NPI number 1861788945
LBN Legal business name Professional Dental Alliance Specialty, Llc
DBA Doing business as
Authorized official Quinteros, Erica
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2011
Last updated Mar 25th, 2024 - about last year

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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