Pediatric Dentistry Of Erie Llc | |
128 W 12th St Ste 300 Erie PA 16501-1753 | |
(814) 868-8673 | |
(814) 866-0232 |
Full Name | Pediatric Dentistry Of Erie Llc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 128 W 12th St Ste 300, Erie, Pennsylvania |
Authorized Official Name and Position | David Shapter (OWNER MEMBER) |
Authorized Official Contact | 8148688673 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pediatric Dentistry Of Erie Llc 128 W 12th St Ste 300 Erie PA 16501-1753 Ph: (814) 868-8673 | Pediatric Dentistry Of Erie Llc 128 W 12th St Ste 300 Erie PA 16501-1753 Ph: (814) 868-8673 |
NPI Number | 1366114928 |
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Provider Enumeration Date | 10/01/2021 |
Last Update Date | 10/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366114928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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