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ANDREW S MATTA DMD BOARDMAN LLC
NPI 1194029736
Dentist - General Practice in Boardman, OH

Active since December 22, 2010
6540 SOUTH AVE, BOARDMAN, OH 44512(330) 758-6165(330) 533-2700 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew S Matta Dmd Boardman Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW S MATTA DMD BOARDMAN LLC (NPI 1194029736) is a healthcare organization registered as a general practice in Boardman, Ohio and active in the NPI registry since December 2010. The organization lists Andrew S Matta, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1194029736
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameANDREW S MATTA DMD BOARDMAN LLC
Location Address6540 SOUTH AVEBoardman, OH 44512-3651
Mailing Address3800 Boardman Canfield RdCanfield, OH 44406-9029 · (330) 533-3400 · Fax (330) 533-2700
Phone(330) 758-6165
Fax(330) 533-2700
Organization SubpartNo
Authorized OfficialAndrew S MattaSole Owner · (330) 533-3400
Enumeration DateDecember 22, 2010
✔ NPI 1194029736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS036253
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6540 SOUTH AVE, Boardman, OH 44512
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EUGENE SCHLANK D.D.S.
Dentist
6540 SOUTH AVE
BOARDMAN, OH 44512
Mahoning County (330) 758-6165
BRANDON CURTIS LUCKETT
Dentist (Orthodontics and Dentofacial Orthopedics)
6540 SOUTH AVE
BOARDMAN, OH 44512
Mahoning County (330) 758-6165
DR. KINGSLEY E BALDWIN III
Dentist (General Practice)
6540 SOUTH AVE
BOARDMAN, OH 44512
Mahoning County (330) 758-5547
DR. JAMES M GENTILE D.D.S.
Dentist (General Practice)
6540 SOUTH AVE, SUITE B
BOARDMAN, OH 44512
Mahoning County (330) 758-6165
YOUNGSTOWN DENTAL LLC
Dentist
6540 SOUTH AVE
YOUNGSTOWN, OH 44512
Mahoning County (330) 758-6165
PROFESSIONAL DENTAL ALLIANCE
Dentist (General Practice)
6540 SOUTH AVE
BOARDMAN, OH 44512
Mahoning County (330) 758-6165
DR. LAWRENCE R LIGUORE DDS
Dentist (General Practice)
6540 SOUTH AVE
BOARDMAN, OH 44512
Mahoning County (330) 629-6800
MENAKA TANDON DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
6540 SOUTH AVE
BOARDMAN, OH 44512
Mahoning County (330) 758-6165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew S Matta Dmd Boardman LLC's NPI number?

The NPI number for Andrew S Matta Dmd Boardman LLC is 1194029736. It was assigned to this organization in the NPPES registry on December 22, 2010.

Where is Andrew S Matta Dmd Boardman LLC located?

Andrew S Matta Dmd Boardman LLC is located at 6540 South Ave, Boardman, OH 44512. The listed phone number is (330) 758-6165.

What is Andrew S Matta Dmd Boardman LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Andrew S Matta Dmd Boardman LLC was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.