OrganizationActive
Professional Dental Alliance, LLC
NPI 1356882989 · Dentist · Columbus, OH
Professional Dental Alliance, LLC is a Dentist organization in Columbus, OH (NPI 1356882989).
Provider details
- NPI number
- 1356882989
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Andrew Matta, Owner(724) 698-2500
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1730 Schrock Rd
Columbus, OH 43229-1575
Phone: (614) 890-3590
Fax: (614) 890-3597
Street-level locationGet directions
Mailing address
11 S Mill St
New Castle, PA 16101-3613
Other names (DBA / former)
- Doing business as
- Refresh Dental Westerville
Registry dates
- Enumerated
- 2017-03-15
- Last updated
- 2017-03-15
Frequently asked questions
- What is Professional Dental Alliance, LLC's NPI number?
- Professional Dental Alliance, LLC's National Provider Identifier (NPI) is 1356882989, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Dental Alliance, LLC?
- Professional Dental Alliance, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Professional Dental Alliance, LLC located?
- Professional Dental Alliance, LLC's practice location on file with NPPES is 1730 Schrock Rd, Columbus, OH 43229-1575.
- What is Professional Dental Alliance, LLC's phone number?
- The practice phone number listed in the NPPES registry for Professional Dental Alliance, LLC is (614) 890-3590.
- Who is the authorized official for Professional Dental Alliance, LLC?
- The authorized official listed on Professional Dental Alliance, LLC's NPPES record is Andrew Matta, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Dental Alliance, LLC's NPI active?
- Yes — Professional Dental Alliance, LLC's NPI (1356882989) is active in the NPPES registry as of the last update on 2017-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.