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 1508161779

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

Licensed in
OH
In the registry since
2011

Practice location Address checks out

12808 Drexmore Rd
Shaker Heights, OH 44120-5609
Phone: (216) 921-8888
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 number1508161779
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 Shaker Heights