PROFESSIONAL DENTAL ALLIANCE NPI 1891090064

NPI Information

PROFESSIONAL DENTAL ALLIANCE is a general practice dentist in Shaker Heights, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PROFESSIONAL DENTAL ALLIANCE NPI is 1891090064. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3729 LEE RD
SHAKER HEIGHTS, OH
ZIP 44120-103
Phone: (216) 751-9922
Fax: (330) 533-2700

The provider's authorized official is Andrew S Matta .
The authorized official title is Member and has the following contact phone number (330) 533-3400.

The enumeration date for this NPI number is 1/20/2011 and was last updated on 1/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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