| Professional Dental Alliance | |
|
101 S Main St Poland OH 44514-2062 | |
| (330) 757-0880 | |
| (330) 533-3400 |
| Full Name | Professional Dental Alliance |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 101 S Main St, Poland, 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 101 S Main St Poland OH 44514-2062 Ph: (330) 757-0880 |
| NPI Number | 1548565849 |
|---|---|
| Provider Enumeration Date | 01/18/2011 |
| Last Update Date | 01/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548565849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 30022469 (Ohio) | Primary |
Andrew S Matta Dmd Poland Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8274 Youngstown Pittsburgh Rd, Poland, OH 44514 Phone: 330-707-9808 | |
Professional Dental Alliance Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8274 Youngstown Pittsburgh Rd, Poland, OH 44514 Phone: 330-757-0880 Fax: 330-533-2700 | |
Sarat Nalluri, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7067 Tiffany Blvd Ste 260, Poland, OH 44514 Phone: 330-629-9021 Fax: 330-965-9237 | |
James N. Kozlow D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 S Main St, Poland, OH 44514 Phone: 330-757-2200 Fax: 330-757-3422 |