Professional Dental Alliance
NPI 1457656621ActiveOrganization· Dentist, General Practice· Boardman, OH
Dentist, General Practice in Boardman, Ohio, registered in NPPES in January 2011, part of Professional Dental Alliance. The authorized official on file is Andrew Matta, DMD, Member.
Overview
| NPI | 1457656621 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Professional Dental Alliance |
| NPI issued | Jan 20, 2011 |
| Last updated in NPPES | Jan 20, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 30022469 | OH |
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 Boardman
- 1306707443
- 1255501730
- 1194029736
- 1205380888
- 1619831351
- 1235109604
- 1083941314
- 1083919252
- 1205908183
- 1144433038
- 1194006965
- 1487770855