OrganizationActive
Professional Dental Alliance
NPI 1962707133 · Pediatric Dentistry · Niles, OH
Provider details
- NPI number
- 1962707133
- Entity type
- Organization
- Primary specialty
- Pediatric 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
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
6285 Youngstown Warren Rd
Niles, OH 44446-4656
Phone: (330) 505-9224
Fax: (330) 533-2700
Approximate (ZIP-level) locationGet directions
Mailing address
3800 Boardman Canfield Rd
Canfield, OH 44406-9029
Registry dates
- Enumerated
- 2011-01-20
- Last updated
- 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.