| Professional Dental Alliance | |
| 
					721 S Union Ave Alliance OH 44601-2932  | |
| (330) 821-0441 | |
| (330) 533-2700 | 
| Full Name | Professional Dental Alliance | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 721 S Union Ave, Alliance, Ohio | 
| Authorized Official Name and Position | Andrew S Matta (MEMBER) | 
| Authorized Official Contact | 3305333400 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Professional Dental Alliance 3800 Boardman Canfield Rd Canfield OH 44406-9029 Ph: (330) 533-3400  | Professional Dental Alliance 721 S Union Ave Alliance OH 44601-2932 Ph: (330) 821-0441  | 
| NPI Number | 1770888943 | 
|---|---|
| Provider Enumeration Date | 01/20/2011 | 
| Last Update Date | 01/20/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770888943 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30022469 (Ohio) | Primary | 
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