Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Professional Dental Alliance of Old Saybrook, Pllc

General Practice Dentistry in Old Saybrook, CT · enumerated 2018 · authorized official Andrew Matta, Cmo/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235620774

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Professional Dental Alliance of Old Saybrook, Pllc

Other name <Unavail>

Practice address 711 Boston Post Rd, Old Saybrook, CT, 06475

Phone (860) 388-0242

Enumeration date May 21, 2018

Last updated in NPPES May 21, 2018

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Andrew Matta

Title Cmo/Owner

Phone (724) 698-2500

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 → Validate an NPI →

Frequently asked questions

What is the NPI number for Professional Dental Alliance of Old Saybrook, Pllc?

The NPI for Professional Dental Alliance of Old Saybrook, Pllc is 1235620774, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Professional Dental Alliance of Old Saybrook, Pllc?

NPPES lists Andrew Matta (Cmo/Owner) as the authorized official for this organization.

Providers at this address

Browse all →

Artem Matatov General Practice Dentistry · Old Saybrook, CT NPI 1477220184 Riley Gonnet Dentist · Old Saybrook, CT NPI 1376236810

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-21.