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PDA NON-PAR
NPI 1811261712
Dentist - General Practice in Canfield, OH

Active since February 24, 2012
3800 BOARDMAN CANFIELD RD, CANFIELD, OH 44406(330) 533-3400(330) 533-2700 Get Directions Write a Review

NPPES record last updated: February 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pda Non-par NPPES

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

PDA NON-PAR (NPI 1811261712) is a healthcare organization registered as a general practice in Canfield, Ohio and active in the NPI registry since February 2012. The organization lists Andrew S Matta, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1811261712
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE LLC
Location Address3800 BOARDMAN CANFIELD RDCanfield, OH 44406-9029
Mailing Address3800 Boardman Canfield RdCanfield, OH 44406-9029 · (330) 533-3400 · Fax (330) 533-2700
Phone(330) 533-3400
Fax(330) 533-2700
Organization SubpartNo
Authorized OfficialAndrew S MattaDentist/owner · (330) 533-3400
Enumeration DateFebruary 24, 2012
✔ NPI 1811261712 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.
3800 BOARDMAN CANFIELD RD, Canfield, OH 44406
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Other Names 1

Other NamePda Non-par

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 2

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

PROFESSIONAL DENTAL ALLIANCE
Dentist
3800 BOARDMAN CANFIELD RD
CANFIELD, OH 44406
Mahoning County (330) 533-3400
DR. JAMES LUCIDO,DDS LLC
Dentist (General Practice)
3800 BOARDMAN CANFIELD RD
CANFIELD, OH 44406
Mahoning County (330) 533-3400

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 LLC's NPI number?

The NPI number for Professional Dental Alliance LLC is 1811261712. It was assigned to this organization in the NPPES registry on February 24, 2012. The provider is also known as Pda Non-Par.

Where is Professional Dental Alliance LLC located?

Professional Dental Alliance LLC is located at 3800 Boardman Canfield Rd, Canfield, OH 44406. The listed phone number is (330) 533-3400.

What is Professional Dental Alliance 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 Professional Dental Alliance LLC was last updated on February 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.