WHITTAKER DENTAL CARE DEFIANCE
NPI 1679093330
Dentist - General Practice in Defiance, OH

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

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

Active since June 23, 2017

100 STADIUM DR STE A, DEFIANCE, OH 43512(419) 784-0775 Get Directions Write a Review

NPPES record last updated: June 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Whittaker Dental Care Defiance NPPES

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

WHITTAKER DENTAL CARE DEFIANCE (NPI 1679093330) is a healthcare organization registered as a general practice in Defiance, Ohio and active in the NPI registry since June 2017. The organization lists Andrew Matta, Owner, as its authorized official.

NPPES Registry Identity

NPI1679093330

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF DEFIANCE, LLC

Location Address100 STADIUM DR STE ADefiance, OH 43512-4615

Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680 · (724) 698-2500

Phone(419) 784-0775

Organization SubpartYesParent: P O Box 713770, Cincinnati, Oh 45271

Authorized OfficialAndrew MattaOwner · (724) 698-2500

Enumeration DateJune 23, 2017

✔ NPI 1679093330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

100 STADIUM DR STE A, Defiance, OH 43512

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Other Names 1

Doing Business AsWhittaker Dental Care Defiance

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. ANDREW BILEN DDS

Dentist (General Practice)

100 STADIUM DR STE A
DEFIANCE, OH 43512

Defiance County (419) 720-7570

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 Professional Dental Alliance Of Defiance, LLC's NPI number?

The NPI number for Professional Dental Alliance Of Defiance, LLC is 1679093330. It was assigned to this organization in the NPPES registry on June 23, 2017. The provider is doing business as Whittaker Dental Care Defiance.

Where is Professional Dental Alliance Of Defiance, LLC located?

Professional Dental Alliance Of Defiance, LLC is located at 100 Stadium Dr Ste A, Defiance, OH 43512. The listed phone number is (419) 784-0775.

What is Professional Dental Alliance Of Defiance, LLC's specialty?

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

What insurance does Professional Dental Alliance Of Defiance, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Professional Dental Alliance Of Defiance, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Professional Dental Alliance Of Defiance, LLC was last updated on June 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.