Professional Dental Alliance
NPI 1518262120ActiveOrganization· Dentist, General Practice· Canfield, OH
Dentist, General Practice in Canfield, Ohio, registered in NPPES in January 2011, part of Professional Dental Alliance. The authorized official on file is Andrew S. Matta, DMD, Member.
Overview
| NPI | 1518262120 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Professional Dental Alliance |
| NPI issued | Jan 13, 2011 |
| Last updated in NPPES | Jan 13, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 30022469 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
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