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PROFESSIONAL DENTAL ALLIANCE
NPI 1962707133
Dentist - Pediatric Dentistry in Niles, OH

Active since January 20, 2011
6285 YOUNGSTOWN WARREN RD, NILES, OH 44446(330) 505-9224(330) 533-2700 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Dental Alliance NPPES

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

PROFESSIONAL DENTAL ALLIANCE (NPI 1962707133) is a healthcare organization registered as a pediatric dentistry in Niles, Ohio and active in the NPI registry since January 2011. The organization lists Andrew S Matta, Member, as its authorized official.

NPPES Registry Identity

NPI1962707133
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE
Location Address6285 YOUNGSTOWN WARREN RDNiles, OH 44446-4656
Mailing Address3800 Boardman Canfield RdCanfield, OH 44406-9029 · (330) 533-3400 · Fax (330) 533-2700
Phone(330) 505-9224
Fax(330) 533-2700
Organization SubpartYes
Authorized OfficialAndrew S MattaMember · (330) 533-3400
Enumeration DateJanuary 20, 2011
✔ NPI 1962707133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in OH · 30022469
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 30022469 (OH)
6285 YOUNGSTOWN WARREN RD, Niles, OH 44446
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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

Other Providers at the Same Location NPPES 4

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

DR. JOHN CHARLES TIFFEE D.D.S.
Dentist
6285 YOUNGSTOWN WARREN RD
NILES, OH 44446
Trumbull County (330) 505-9224
DR. MICHAEL R GRIESMER DDS
Dentist (Pediatric Dentistry)
6285 YOUNGSTOWN WARREN RD
NILES, OH 44446
Trumbull County (330) 505-9224
NAGY HANNA DMD
Dentist
6285 YOUNGSTOWN WARREN RD
NILES, OH 44446
Trumbull County (330) 505-9224
DENTAL EXPRESS KIDS NILES MICHAEL R. GRIESMER DDS LLC
Dentist
6285 YOUNGSTOWN WARREN RD
NILES, OH 44446
Trumbull County (330) 505-9224

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's NPI number?

The NPI number for Professional Dental Alliance is 1962707133. It was assigned to this organization in the NPPES registry on January 20, 2011.

Where is Professional Dental Alliance located?

Professional Dental Alliance is located at 6285 Youngstown Warren Rd, Niles, OH 44446. The listed phone number is (330) 505-9224.

What is Professional Dental Alliance's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Professional Dental Alliance was last updated on January 20, 2011. 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.