| Professional Dental Alliance | |
|
99 Debartolo Pl Boardman OH 44512-7014 | |
| (330) 758-2348 | |
| (330) 533-2700 |
| Full Name | Professional Dental Alliance |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 99 Debartolo Pl, Boardman, 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 99 Debartolo Pl Boardman OH 44512-7014 Ph: (330) 758-2348 |
| NPI Number | 1083919252 |
|---|---|
| Provider Enumeration Date | 01/20/2011 |
| Last Update Date | 01/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083919252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30022469 (Ohio) | Primary |
Melissa Mullane Padgett, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 Boardman Canfield Rd, Suite 1a, Boardman, OH 44512 Phone: 330-726-6700 Fax: 330-965-9594 | |
Andrew S Matta Dmd Boardman Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6540 South Ave, Boardman, OH 44512 Phone: 330-758-6165 Fax: 330-533-2700 | |
Andrew W Mattson Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Roche Way, Boardman, OH 44512 Phone: 330-758-0536 Fax: 330-758-0854 | |
Dentalworks Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Boardman-poland Road, Boardman, OH 44512 Phone: 330-629-8884 Fax: 216-584-1070 | |
Allcare Dental & Dentures Of Ohio - Bates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Boardman Poland Rd, Rt. 224, Boardman, OH 44512 Phone: 330-259-0276 Fax: 330-758-8690 | |
Robert D Perrott Dmd Limited Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7200 Bristlewood Dr, Boardman, OH 44512 Phone: 330-726-0090 Fax: 330-726-1002 |