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

Professional Dental Alliance Specialty, LLC

Organization Dentist · NPI 1861788945

Professional Dental Alliance Specialty, LLC is a Dentist in Boardman, Ohio. Licensed in Ohio. Registered with an NPI since 2011.

Licensed in
OH
In the registry since
2011
Specialties on file
10
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

6540 S Ave
Boardman, OH 44512-3651
Phone: (330) 721-0606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (OH)
Endodontics Taxonomy 1223E0200X (OH)
General Practice Dentistry Taxonomy 1223G0001X (OH)
Oral and Maxillofacial Pathology Dentistry Taxonomy 1223P0106X (OH)
Pediatric Dentistry Taxonomy 1223P0221X (OH)
Periodontics Taxonomy 1223P0300X (OH)
Prosthodontics Taxonomy 1223P0700X (OH)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X (OH)
Oral and Maxillofacial Radiology Dentistry Taxonomy 1223X0008X (OH)
Denturist Taxonomy 122400000X (OH)

Record details

NPI number1861788945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erica Quinteros — Credentialing · (724) 901-1964
NPI enumeratedJune 27, 2011
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address125 Enterprise Dr Ste 200, Pittsburgh, PA 15275-1223

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