OrganizationActive
Professional Dental Alliance
NPI 1790179992 · Dentist · Cleveland, OH
Professional Dental Alliance is a Dentist organization in Cleveland, OH (NPI 1790179992).
Provider details
- NPI number
- 1790179992
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Andrew Matta, Chief Medical Officer(724) 674-2965
- License
- 30-023665 (OH)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
11201 Shaker Blvd
136
Cleveland, OH 44104-3869
Phone: (216) 368-7238
Street-level locationGet directions
Mailing address
11 S Mill St
New Castle, PA 16101-3613
Other names (DBA / former)
- Doing business as
- Professional Dental Alliance
Registry dates
- Enumerated
- 2015-03-25
- Last updated
- 2015-03-25
Frequently asked questions
- What is Professional Dental Alliance's NPI number?
- Professional Dental Alliance's National Provider Identifier (NPI) is 1790179992, 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 Dentist (Dental Providers).
- Where is Professional Dental Alliance located?
- Professional Dental Alliance's practice location on file with NPPES is 11201 Shaker Blvd, Cleveland, OH 44104-3869.
- What is Professional Dental Alliance's phone number?
- The practice phone number listed in the NPPES registry for Professional Dental Alliance is (216) 368-7238.
- Who is the authorized official for Professional Dental Alliance?
- The authorized official listed on Professional Dental Alliance's NPPES record is Andrew Matta, Chief Medical Officer. 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 (1790179992) is active in the NPPES registry as of the last update on 2015-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.