Professional Dental Alliance of Northford, PLLC
NPI 1811488356ActiveOrganization· Dentist, General Practice· Northford, CT
Dentist, General Practice in Northford, Connecticut, registered in NPPES in May 2018. The authorized official on file is Andrew Matta, DMD, Cmo/Owner.
Overview
| NPI | 1811488356 |
|---|---|
| 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 · 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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