| Professional Dental Alliance | |
|
2384 Southeast Blvd Salem OH 44460-3418 | |
| (330) 332-0368 | |
| (330) 533-2700 |
| Full Name | Professional Dental Alliance |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2384 Southeast Blvd, Salem, Ohio |
| Authorized Official Name and Position | Andrew S Matta (MEMBER) |
| Authorized Official Contact | 3305333400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance 3800 Boardman Canfield Rd Canfield OH 44406-9029 Ph: (330) 533-3400 | Professional Dental Alliance 2384 Southeast Blvd Salem OH 44460-3418 Ph: (330) 332-0368 |
| NPI Number | 1235434861 |
|---|---|
| Provider Enumeration Date | 01/12/2011 |
| Last Update Date | 01/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235434861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 30022469 (Ohio) | Primary |
Shivers Dentisry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2951 St Rt 45 S, Salem, OH 44460 Phone: 330-332-9422 Fax: 330-332-0155 | |
Dental Health Group, Terrence P. Flinn, D.d.s., Ted A Schuster, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 E State St, Salem, OH 44460 Phone: 330-332-8585 Fax: 330-332-9320 | |
Smilewright Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Continental Dr, Salem, OH 44460 Phone: 330-332-0366 | |
Frank R Bailey Ddd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2384 Southeast Blvd, Salem, OH 44460 Phone: 330-332-0368 Fax: 330-332-2145 | |
Yerkey And Madjarac Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2940 State Route 45 S, Salem, OH 44460 Phone: 330-332-5377 |