Professional Dental Alliance of Old Saybrook, PLLC
NPI 1235620774ActiveOrganization· Dentist, General Practice· Old Saybrook, CT
Dentist, General Practice in Old Saybrook, Connecticut, registered in NPPES in May 2018. The authorized official on file is Andrew Matta, DMD, Cmo/Owner.
Overview
| NPI | 1235620774 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2018 |
| Last updated in NPPES | May 21, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, General Practice providers in Old Saybrook
- 1699213025
- 1598615619
- 1417152786
- 1275871717
- 1336551241
- 1134477532
- 1396126793
- 1124387444
- 1780701698
- 1851750426
- 1528408754
- 1356367510