OrganizationActive
Professional Dental Alliance
NPI 1457656621 · General Practice Dentistry · Boardman, OH
Professional Dental Alliance is a General Practice Dentistry organization in Boardman, OH (NPI 1457656621).
Provider details
- NPI number
- 1457656621
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Professional Dental Alliance
- Organization subpart
- Yes
- Authorized official
- Andrew Matta, Member(330) 533-3400
- License
- 30022469 (OH)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
6540 South Ave
Boardman, OH 44512-3651
Phone: (330) 758-6165
Fax: (330) 533-2700
Street-level locationGet directions
Mailing address
3800 Boardman Canfield Rd
Canfield, OH 44406-9029
Registry dates
- Enumerated
- 2011-01-20
- Last updated
- 2011-01-20
Frequently asked questions
- What is Professional Dental Alliance's NPI number?
- Professional Dental Alliance's National Provider Identifier (NPI) is 1457656621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Dental Alliance?
- Professional Dental Alliance is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Professional Dental Alliance located?
- Professional Dental Alliance's practice location on file with NPPES is 6540 South Ave, Boardman, OH 44512-3651.
- What is Professional Dental Alliance's phone number?
- The practice phone number listed in the NPPES registry for Professional Dental Alliance is (330) 758-6165.
- Who is the authorized official for Professional Dental Alliance?
- The authorized official listed on Professional Dental Alliance's NPPES record is Andrew Matta, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Dental Alliance's NPI active?
- Yes — Professional Dental Alliance's NPI (1457656621) is active in the NPPES registry as of the last update on 2011-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.