Professional Dental Alliance of Georgia, LLC
NPI 1861900946ActiveOrganization· Dentist, General Practice· Acworth, GA
Dentist, General Practice in Acworth, Georgia, registered in NPPES in January 2018. The authorized official on file is Andrew Matta, Owner.
Overview
| NPI | 1861900946 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2018 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DN013474 | GA |
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 Acworth
- 1326453317
- 1659787844
- 1013774751
- 1710499355
- 1093825028
- 1134945397
- 1982575866
- 1205256039
- 1144563560
- 1720146137
- 1295845261
- 1356451371