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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROFESSIONAL DENTAL ALLIANCE

Active Organization

PROFESSIONAL DENTAL ALLIANCE is a General Dentistry organization located in BOARDMAN, Ohio. NPI 1457656621 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BOARDMAN, OH

Registration Details

NPI Number
1457656621
Provider Type
Organization
NPI Issued
Jan 20, 2011 (15.592737128471 yrs)
Last Updated
Jan 20, 2011
License
30022469 (OH)

Practice Information

Address
6540 SOUTH AVE
BOARDMAN, OH, 445123651
Browse OH providers · Browse ZIP 44512
Phone
3307586165
Fax
3305332700
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.