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Professional Dental Alliance Specialty, LLC

NPI 1346796869ActiveOrganization· Dentist, Endodontics· Holland, OH

Dentist, Endodontics in Holland, Ohio, registered in NPPES in August 2016. The authorized official on file is Maria Jones, Cred Specialist.

Overview

NPI1346796869
StatusActive
Entity typeOrganization
NPI issuedAug 26, 2016
Last updated in NPPESAug 26, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Endodontics Primary1223E0200X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other endodontists in Holland

All endodontists in Ohio