REFRESH DENTAL WESTERVILLE
NPI 1356882989
Dentist in Columbus, OH

Q: What is Professional Dental Alliance, LLC's NPI number?

The NPI number for Professional Dental Alliance, LLC is 1356882989. It was assigned to this organization in the NPPES registry on March 15, 2017. The provider is doing business as Refresh Dental Westerville.

Q: What is Professional Dental Alliance, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since March 15, 2017

1730 SCHROCK RD, COLUMBUS, OH 43229(614) 890-3590(614) 890-3597 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Refresh Dental Westerville NPPES

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

REFRESH DENTAL WESTERVILLE (NPI 1356882989) is a healthcare organization registered as a dentist in Columbus, Ohio and active in the NPI registry since March 2017. The organization lists Andrew Matta, Owner, as its authorized official.

NPPES Registry Identity

NPI1356882989

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePROFESSIONAL DENTAL ALLIANCE, LLC

Location Address1730 SCHROCK RDColumbus, OH 43229-1575

Mailing Address11 S Mill St, Suite 200New Castle, PA 16101-3613 · (724) 698-2500 · Fax (724) 652-4619

Phone(614) 890-3590

Fax(614) 890-3597

Organization SubpartNo

Authorized OfficialAndrew MattaOwner · (724) 698-2500

Enumeration DateMarch 15, 2017

✔ NPI 1356882989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1730 SCHROCK RD, Columbus, OH 43229

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Other Names 1

Doing Business AsRefresh Dental Westerville

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 6

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

DR. JAMES E NICHOLLS D.D.S

Dentist (General Practice)