Professional Dental Alliance of Defiance, LLC
NPI 1679093330 · General Practice Dentistry · Defiance, OH
Professional Dental Alliance of Defiance, LLC is a General Practice Dentistry organization in Defiance, OH (NPI 1679093330).
Provider details
- NPI number
- 1679093330
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- P O Box 713770, Cincinnati, Oh 45271
- Organization subpart
- Yes
- Authorized official
- Andrew Matta, Owner(724) 698-2500
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Other names (DBA / former)
- Doing business as
- Whittaker Dental Care Defiance
Registry dates
- Enumerated
- 2017-06-23
- Last updated
- 2017-06-23
Frequently asked questions
- What is Professional Dental Alliance of Defiance, LLC's NPI number?
- Professional Dental Alliance of Defiance, LLC's National Provider Identifier (NPI) is 1679093330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Dental Alliance of Defiance, LLC?
- Professional Dental Alliance of Defiance, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Professional Dental Alliance of Defiance, LLC located?
- Professional Dental Alliance of Defiance, LLC's practice location on file with NPPES is 100 Stadium Dr Ste a, Defiance, OH 43512-4615.
- What is Professional Dental Alliance of Defiance, LLC's phone number?
- The practice phone number listed in the NPPES registry for Professional Dental Alliance of Defiance, LLC is (419) 784-0775.
- Who is the authorized official for Professional Dental Alliance of Defiance, LLC?
- The authorized official listed on Professional Dental Alliance of Defiance, 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 of Defiance, LLC's NPI active?
- Yes — Professional Dental Alliance of Defiance, LLC's NPI (1679093330) is active in the NPPES registry as of the last update on 2017-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.