OrganizationActive
Andrew S Matta DMD Boardman LLC
NPI 1194029736 · General Practice Dentistry · Boardman, OH
Provider details
- NPI number
- 1194029736
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Authorized official
- Andrew Matta, Sole Owner
- License
- DS036253 (PA)
Practice location
6540 South Ave
Boardman, OH 44512-3651
Phone: (330) 758-6165
Fax: (330) 533-2700
Mailing address
3800 Boardman Canfield Rd
Canfield, OH 44406-9029
Registry dates
- Enumerated
- 2010-12-22
- Last updated
- 2010-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.