Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Professional Dental Alliance

Organization General Practice Dentistry · NPI 1457656621

Professional Dental Alliance is a General Practice Dentistry in Boardman, Ohio. Licensed in Ohio. Registered with an NPI since 2011.

Licensed in
OH
In the registry since
2011

Practice location Address checks out

6540 S Ave
Boardman, OH 44512-3651
Phone: (330) 758-6165
Fax: (330) 533-2700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 30022469 (OH)

Record details

NPI number1457656621
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProfessional Dental Alliance
Authorized official Andrew Matta — Member · (330) 533-3400
NPI enumeratedJanuary 20, 2011
Last updated in NPPESJanuary 20, 2011
Mailing address3800 Boardman Canfield Rd, Canfield, OH 44406-9029

Other providers in Boardman