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

PROFESSIONAL DENTAL ALLIANCE SPECIALTY, LLC

Active Organization

PROFESSIONAL DENTAL ALLIANCE SPECIALTY, LLC is a Dentist organization located in BOARDMAN, Ohio. NPI 1861788945 is currently active in the NPPES registry. Verify at CMS.

Dentist · BOARDMAN, OH

Registration Details

NPI Number
1861788945
Provider Type
Organization
NPI Issued
Jun 27, 2011 (15.157912774471 yrs)
Last Updated
Mar 25, 2024

Practice Information

Address
6540 SOUTH AVE
BOARDMAN, OH, 445123651
Browse OH providers · Browse ZIP 44512
Phone
3307210606
Primary Specialty
Dentist
122300000X
Additional Specialty
General Dentistry
Additional Specialty
Pediatric Dentistry
Additional Specialty
Periodontology
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.