Organization · Type 2 NPI
Professional Dental Alliance
Pediatric Dentistry · Niles, OH
NPI number
1962707133
Active
Practice location
6285 Youngstown Warren Rd
Niles, OH 44446-4656
Fax (330) 533-2700
Mailing address
3800 Boardman Canfield Rd
Canfield, OH 44406-9029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 30022469 (OH) |
| Pediatric Dentistry Primary | 1223P0221X | 30022469 (OH) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4 other providers at this address
About NPI 1962707133
Professional Dental Alliance's National Provider Identifier is 1962707133, issued on Jan 20, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Niles, OH. The record was last updated on Jan 20, 2011.