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

Professional Dental Alliance

Organization Dentist · NPI 1790179992

Professional Dental Alliance is a Dentist in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2015.

Licensed in
OH
In the registry since
2015

Practice location Address checks out

11201 Shaker Blvd 136
Cleveland, OH 44104-3869
Phone: (216) 368-7238
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30-023665 (OH)

Record details

NPI number1790179992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Matta — Chief Medical Officer · (724) 674-2965
Other names Professional Dental Alliance
NPI enumeratedMarch 25, 2015
Last updated in NPPESMarch 25, 2015
Mailing address11 S Mill St, New Castle, PA 16101-3613

Other providers in Cleveland