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NPI · 1790179992 · NPPES-sourced

Professional Dental Alliance

ActiveDentist
NPI Number
1790179992
Type 2 · Organisation
Taxonomy Code
122300000X
Contact
(216) 368-7238
License OH · 30-023665
Last Updated
Enumerated
Primary practice addressOH · 44104-3869
11201 Shaker Blvd, 136Cleveland, OH 44104-3869
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About this NPIWhat this record shows.

NPI 1790179992 is registered to Professional Dental Alliance, a healthcare organisation classified as "Dentist" and located at 11201 Shaker Blvd, 136 in Cleveland, Ohio. The organisation's authorised official is Andrew Matta. The organisation has been enumerated in the NPI registry since 2015.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 30023665OH· Issued by LICENSE NUMBER

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Professional Dental Alliance accepts. To confirm in-network status with your specific health plan, contact Professional Dental Alliance directly at (216) 368-7238.

Frequently asked

Yes. NPI 1790179992 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (216) 368-7238.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Professional Dental Alliance is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy122300000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
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Curated partner offers for clinics and front-desk staff.
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