PROFESSIONAL DENTAL ALLIANCE SPECIALTY, LLC
NPI 1861788945
Dentist in Boardman, OH

Active since June 27, 2011
6540 SOUTH AVE, BOARDMAN, OH 44512(330) 721-0606 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Dental Alliance Specialty, Llc NPPES

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

PROFESSIONAL DENTAL ALLIANCE SPECIALTY, LLC (NPI 1861788945) is a healthcare organization registered as a dentist in Boardman, Ohio and active in the NPI registry since June 2011. The organization lists Erica Quinteros, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1861788945
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE SPECIALTY, LLC
Location Address6540 SOUTH AVEBoardman, OH 44512-3651
Mailing Address125 Enterprise Dr Ste 200Pittsburgh, PA 15275-1223 · (724) 698-2500
Organization SubpartNo
Authorized OfficialErica QuinterosCredentialing · (724) 901-1964
Enumeration DateJune 27, 2011
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
NPI 1861788945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

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.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
Also ListedDentist · Oral and Maxillofacial RadiologyTaxonomy 1223X0008X
Also ListedDenturistTaxonomy 122400000X
6540 SOUTH AVE, Boardman, OH 44512

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

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.

Dentist
6540 SOUTH AVE
BOARDMAN, OH 44512
Dentist (General Practice)
6540 SOUTH AVE
BOARDMAN, OH 44512
Dentist (Orthodontics and Dentofacial Orthopedics)
6540 SOUTH AVE
BOARDMAN, OH 44512
Dentist (General Practice)
6540 SOUTH AVE
BOARDMAN, OH 44512
Dentist (General Practice)
6540 SOUTH AVE, SUITE B
BOARDMAN, OH 44512
Dentist
6540 SOUTH AVE
YOUNGSTOWN, OH 44512
Dentist (General Practice)
6540 SOUTH AVE
BOARDMAN, OH 44512
Dentist (General Practice)
6540 SOUTH AVE
BOARDMAN, OH 44512

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 Specialty, LLC's NPI number?

The NPI number for Professional Dental Alliance Specialty, LLC is 1861788945. It was assigned to this organization in the NPPES registry on June 27, 2011.

Where is Professional Dental Alliance Specialty, LLC located?

Professional Dental Alliance Specialty, LLC is located at 6540 South Ave, Boardman, OH 44512. The listed phone number is (330) 721-0606.

What is Professional Dental Alliance Specialty, LLC's specialty?

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

What insurance does Professional Dental Alliance Specialty, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, DentaQuest Insurance Company Inc- OH and UnitedHealthcare list Professional Dental Alliance Specialty, 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 Specialty, LLC was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.