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

Professional Dental Alliance, LLC

Organization Dentist · NPI 1356882989

Professional Dental Alliance, LLC is a Dentist in Columbus, Ohio. Registered with an NPI since 2017.

In the registry since
2017
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

1730 Schrock Rd
Columbus, OH 43229-1575
Phone: (614) 890-3590
Fax: (614) 890-3597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1356882989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Matta — Owner · (724) 698-2500
Other names Refresh Dental Westerville
NPI enumeratedMarch 15, 2017
Last updated in NPPESMarch 15, 2017
Mailing address11 S Mill St, Suite 200, New Castle, PA 16101-3613

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