Organization · Type 2 NPI

Professional Dental Alliance

General Practice Dentistry · Shaker Heights, OH

NPI number 1891090064 Active

Practice location

3729 Lee Rd
Shaker Heights, OH 44120-5103

Fax (330) 533-2700

Mailing address

3800 Boardman Canfield Rd
Canfield, OH 44406-9029

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X30022469 (OH)

General Practice Dentistry: 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.

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About NPI 1891090064

Professional Dental Alliance's National Provider Identifier is 1891090064, issued on Jan 20, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shaker Heights, OH. The record was last updated on Jan 20, 2011.