Professional Dental Alliance of Heath, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROFESSIONAL DENTAL ALLIANCE OF HEATH, LLC

Doing business as

Hopewell Dental Heath

Practice address

572 Industrial Pkwy
Heath, OH 43056-1528

Phone

(740) 522-5000

NPI assigned

Jun 6, 2018

Last updated

Jun 6, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Matta

Title

Cmo/DMD

Phone

(724) 698-2500

Specialties & licenses 1

Addresses

Other names 1

• Hopewell Dental Heath Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1649762543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S MILL ST STE 200",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013680",
            "telephone_number": "724-698-2500",
            "fax_number": "724-652-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 INDUSTRIAL PKWY",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561528",
            "telephone_number": "740-522-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL ALLIANCE OF HEATH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CMO/DMD",
        "authorized_official_telephone_number": "724-698-2500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hopewell Dental Heath",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison Dawn Phillips, COTAL
• Physical Medicine & Rehabilitation Centers of Ohio
• Andrew Pool, OT
• Brenda Kay Posey, LPN
• Kasey L Prinz
• Professional Dental Alliance of Hopewell LLC (Hopewell Dental Heath)
• Pure Ki Reiki LLC
• Sherry Alice Radabaugh
• Mildred Christing Ramsey, PC
• Holly Ann Randall

• General Practice Dentistry in Heath, OH
• Providers in Heath, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.