Professional Dental Alliance

NPI #1235434861 in Salem, Ohio

Provider Information

NPI Number: 1235434861
Entity Type: Organization
Organization Name: Professional Dental Alliance
Subpart: Yes (part of a larger organization)
Parent Organization: PROFESSIONAL DENTAL ALLIANCE
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jan 12, 2011
Last Updated: Jan 12, 2011

Practice Location

Address: 2384 SOUTHEAST BLVD
City: Salem
State: Ohio
ZIP Code: 44460-3418
Phone: (330) 332-0368

Authorized Official

Name: ANDREW S MATTA, DMD
Title: MEMBER
Phone: (330) 533-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Frank Bailey, D.D.S., M.S.	Dentist - Orthodontics and Dentofacial Orthopedics	Salem	AI Deep Dive
Ambika Sharma	Dentist - Orthodontics and Dentofacial Orthopedics	Salem	AI Deep Dive
DR. Ronald Paul Kolodziej, D.M.D., M.S.	Dentist - Orthodontics and Dentofacial Orthopedics	Lakewood	AI Deep Dive
DR. Timothy M Reddy, D.D.S.,M.S	Dentist - Orthodontics and Dentofacial Orthopedics	Cincinnati	AI Deep Dive

Organizations

Provider Name	Specialty	City
Frank R Bailey Ddd INC	Dentist - Orthodontics and Dentofacial Orthopedics	Salem	AI Deep Dive

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