| Professional Dental Alliance, Llc | |
|
6325 N Ridge Rd Madison OH 44057-2547 | |
| (440) 428-1145 | |
| Not Available |
| Full Name | Professional Dental Alliance, Llc |
|---|---|
| Speciality | Dentist |
| Location | 6325 N Ridge Rd, Madison, Ohio |
| Authorized Official Name and Position | Andrew Matta (OWNER) |
| Authorized Official Contact | 7246982500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance, Llc 11 S Mill St Suite 200 New Castle PA 16101-3613 Ph: (724) 698-2500 | Professional Dental Alliance, Llc 6325 N Ridge Rd Madison OH 44057-2547 Ph: (440) 428-1145 |
| NPI Number | 1164971024 |
|---|---|
| Provider Enumeration Date | 10/03/2016 |
| Last Update Date | 10/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164971024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30.022469 (Ohio) | Primary |
Northern Dental Specialists, Dr. Steven W Gajda Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2040 Hubbard Road, Madison, OH 44057 Phone: 440-428-7290 Fax: 440-428-0911 | |
Madison Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6248 N Ridge Rd, Madison, OH 44057 Phone: 440-428-1101 Fax: 440-428-6985 | |
Yazan F Karadsheh Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6248 N Ridge Rd, Madison, OH 44057 Phone: 440-428-1011 |