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

Professional Dental Alliance, LLC

Organization Dentist · NPI 1164971024

Professional Dental Alliance, LLC is a Dentist in Madison, Ohio. Licensed in Ohio. Registered with an NPI since 2016.

Licensed in
OH
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6325 N Ridge Rd
Madison, OH 44057-2547
Phone: (440) 428-1145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30.022469 (OH)

Record details

NPI number1164971024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Matta — Owner · (724) 698-2500
Other names Dental Care Of Ohio, Madison
NPI enumeratedOctober 3, 2016
Last updated in NPPESOctober 3, 2016
Mailing address11 S Mill St, Suite 200, New Castle, PA 16101-3613

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