| Professional Dental Alliance, Llc | |
|
820 W Main St Hebron OH 43025-9033 | |
| (740) 928-0761 | |
| Not Available |
| Full Name | Professional Dental Alliance, Llc |
|---|---|
| Speciality | Dentist |
| Location | 820 W Main St, Hebron, Ohio |
| Authorized Official Name and Position | Andrew Matta (OWNER) |
| Authorized Official Contact | 7246982119 |
| 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 820 W Main St Hebron OH 43025-9033 Ph: (740) 928-0761 |
| NPI Number | 1215478706 |
|---|---|
| Provider Enumeration Date | 03/16/2017 |
| Last Update Date | 03/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215478706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Steven S Lee, D.d.s. Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 W. Main St., Hebron, OH 43025 Phone: 740-928-4596 Fax: 740-928-0761 |