Professional Dental Alliance
Professional Dental Alliance is a healthcare organization registered as General Practice Dentistry in Boardman, OH, holding Type 2 (organization) NPI 1457656621 since 2011. The authorized official on file is Andrew Matta, Member.
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| NPI | 1457656621 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Professional Dental Alliance |
| Parent organization | Professional Dental Alliance |
| Practice address | 6540 SOUTH AVE, Boardman, OH, 44512 |
| Phone | 3307586165 |
| Fax | 3305332700 |
| Enumeration date | 2011-01-20 |
| Last updated in NPPES | 2011-01-20 |
Authorized official
| Name | Andrew Matta |
|---|---|
| Title | Member |
| Phone | 3305333400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 30022469 | OH |
Copy-ready billing details
Provider: Professional Dental Alliance NPI: 1457656621 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 |
| 1194029736 | Andrew S Matta Dmd Boardman LLC | Organization | General Practice Dentistry | Boardman, OH |
| 1861788945 | Professional Dental Alliance Specialty, LLC | Organization | Dentist | Boardman, OH |
Verify this record
Cross-check NPI 1457656621 against the authoritative CMS record: view Professional Dental Alliance 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
Who is the authorized official for Professional Dental Alliance?
What is the NPI number for Professional Dental Alliance?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-01-20.