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Professional Dental Alliance of Defiance, LLC

General Practice Dentistry in Defiance, OH · enumerated 2017 · authorized official Andrew Matta, Owner.

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

National Provider Identifier

1679093330

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Registry record

Entity type Organization (Type 2)
Legal business name Professional Dental Alliance of Defiance, LLC
Other name <Unavail>
Parent organization P O Box 713770, Cincinnati, Oh 45271
Practice address 100 Stadium Dr Ste A, Defiance, OH, 43512
Phone (419) 784-0775
Enumeration date Jun 23, 2017
Last updated in NPPES Jun 23, 2017

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Andrew Matta
Title 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.

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Frequently asked questions

What is the NPI number for Professional Dental Alliance of Defiance, LLC?
The NPI for Professional Dental Alliance of Defiance, LLC is 1679093330, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Professional Dental Alliance of Defiance, LLC?
NPPES lists Andrew Matta (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-06-23.