Andrew S Matta Dmd Boardman LLC
Andrew S Matta Dmd Boardman LLC is a healthcare organization registered as General Practice Dentistry in Boardman, OH, holding Type 2 (organization) NPI 1194029736 since 2010. The authorized official on file is Andrew Matta, Sole Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1194029736 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Andrew S Matta Dmd Boardman LLC |
| Practice address | 6540 SOUTH AVE, Boardman, OH, 44512 |
| Phone | 3307586165 |
| Fax | 3305332700 |
| Enumeration date | 2010-12-22 |
| Last updated in NPPES | 2010-12-22 |
Authorized official
| Name | Andrew Matta |
|---|---|
| Title | Sole Owner |
| Phone | 3305333400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | DS036253 | PA |
Copy-ready billing details
Provider: Andrew S Matta Dmd Boardman LLC NPI: 1194029736 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 6540 SOUTH AVE, Boardman, OH, 44512
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1225001241 | James Gentile | Individual | General Practice Dentistry | Boardman, OH |
| 1477597607 | Lawrence Liguore | Individual | General Practice Dentistry | Boardman, OH |
| 1154330694 | Eugene Schlank | Individual | Dentist | Boardman, OH |
| 1205908183 | Kingsley Baldwin III | Individual | General Practice Dentistry | Boardman, OH |
| 1407084072 | Youngstown Dental LLC | Organization | Dentist | Youngstown, OH |
| 1962730549 | Dental Express Boardman, Ted A Schuster DDS LLC | Organization | Dentist | Boardman, OH |
| 1457656621 | Professional Dental Alliance | Organization | General Practice Dentistry | Boardman, OH |
| 1861788945 | Professional Dental Alliance Specialty, LLC | Organization | Dentist | Boardman, OH |
Verify this record
Cross-check NPI 1194029736 against the authoritative CMS record: view Andrew S Matta Dmd Boardman LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Andrew S Matta Dmd Boardman LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-12-22.