Professional Dental Alliance LLC
NPI 1811261712ActiveOrganization· Dentist, General Practice· Canfield, OH
Dentist, General Practice in Canfield, Ohio, registered in NPPES in February 2012. The authorized official on file is Andrew S. Matta, DMD, Dentist/Owner.
Overview
| NPI | 1811261712 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 24, 2012 |
| Last updated in NPPES | Feb 24, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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