PROFESSIONAL DENTAL ALLIANCE (NPI# 1518262120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518262120 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL DENTAL ALLIANCE |
| Practice Address |
3830 Starrs Centre Dr Suite 2 Canfield OH 44406-8003 |
| Mailing Address |
3800 Boardman Canfield Rd Canfield OH 44406-9029 |
| Practice Telephone | 3305338699 |
| Practice Fax Number | 3305332700 |
| Mailing Telephone | 3305333400 |
| Mailing Fax Number | 3305332700 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |
| 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 |
3830 STARRS CENTRE DR SUITE 2 |
| City | CANFIELD |
| State | OH |
| Zip Code | 44406-8003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376691378 | Brian J Dematteo | Dentist | 3830 Starrs Centre Dr, Suite #2, Canfield, OH 44406-8003 | 2007-01-08 |
| 1568799070 | Christopher Allaman | Dentist | 3830 Starrs Centre Dr, Canfield, OH 44406-8003 | 2009-11-05 |
| 1205072253 | Dental Express, LLC | Dentist | 3830 Starrs Centre Dr, Suite 2, Canfield, OH 44406-8003 | 2008-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952802282 | Julie Nicole Austalosh | Case Manager/Care Coordinator | 3711 Indian Run Dr Apt 7, Canfield, OH 44406 | 2018-02-22 |
| 1073064887 | Abby Smith | Specialist/Technologist | 250 Lake Pointe Circle, Canfield, OH 44406 | 2016-10-17 |
| 1255887949 | Chris Smallwood II | Driver | 6128 St Andrews Dr, Canfield, OH 44406 | 2016-09-01 |
| 1831572064 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 41 Talsman Drive, Youngstown, OH 44406 | 2015-07-07 |
| 1568845790 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 3222 Forty Second Street, Youngstown, OH 44406 | 2015-07-07 |
| 1003212051 | Diane Pool | Registered Nurse | 100 Wadsworth Street, Canfield, OH 44406 | 2014-11-18 |
| 1215353990 | Jeanne Siverd | Occupational Therapy Assistant | 11300 Columbiana-canfield Rd., Suite E, Canfield, OH 44406 | 2014-03-05 |
| 1134565641 | Dema Halasa Esper | Dietitian, Registered | 52 Timber Run Dr., Canfield, OH 44406 | 2013-05-13 |
| 1851680615 | Kimberly Jean Fyock | Licensed Practical Nurse | 7720 Lydia Ln, Canfield, OH 44406 | 2011-04-01 |
| 1205060654 | Jennifer L Morris | Registered Nurse | 3787 Mercedes Place, Canfield, OH 44406 | 2009-05-13 |
| Find all providers in zip 44406 | ||||
| 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 |
|---|---|---|---|---|
| 1285131557 | Chelsea Colburn | Dentist | 5711 Shields Rd Ste A, Canfield, OH 44406-9813 | 2018-04-12 |
| 1639473275 | Andrew S Matta Dmd Canfield LLC | Dentist | 3830 Starrs Centre Dr # 2, Canfield, OH 44406-8003 | 2010-12-22 |
| 1417250754 | Dr. James Lucido,dds LLC | Dentist | 3800 Boardman Canfield Rd, Canfield, OH 44406-9029 | 2010-12-08 |
| 1225161789 | Martin Carl Raupple | Dentist | 6715 Tippecanoe Rd Ste E102, Canfield, OH 44406-9183 | 2007-03-13 |
| 1023149200 | Terry L Wyand | Dentist | 4137 Boardman-canfield Rd, Ste 102, Canfield, OH 44406 | 2007-03-08 |
| 1376691378 | Brian J Dematteo | Dentist | 3830 Starrs Centre Dr, Suite #2, Canfield, OH 44406-8003 | 2007-01-08 |
| 1326137266 | David Andrew Crans | Dentist | 3701 Boardman Canfield Rd, Suite 4, Canfield, OH 44406-7005 | 2006-10-11 |
| 1467462846 | George Anthony Saadey | Dentist | 3620 Stutz Drive, Canfield, OH 44406-9176 | 2006-08-09 |
| 1245288844 | Lawrence Edward Mccall | Dentist | 3700 Stutz Dr, 3700 Dental Arts Bldg Ste 3, Canfield, OH 44406-8194 | 2006-05-05 |
| 1063024651 | Ohio Dental Professionals, Delisle, P.C. | Dentist | 5711 Shields Rd Ste A, Canfield, OH 44406-9813 | 2020-08-17 |
| Find all providers in CANFIELD | ||||
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.