| Lake Erie Dental Inc | |
|
106 Waterford Street Edinboro PA 16412 | |
| (814) 734-1814 | |
| (814) 734-7163 |
| Full Name | Lake Erie Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 106 Waterford Street, Edinboro, Pennsylvania |
| Authorized Official Name and Position | Kevin Sambuchino (PRESIDENT) |
| Authorized Official Contact | 8147341814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Erie Dental Inc 106 Waterford Street Po Box 391 Edinboro PA 16412 Ph: (814) 734-1814 | Lake Erie Dental Inc 106 Waterford Street Edinboro PA 16412 Ph: (814) 734-1814 |
| NPI Number | 1568629335 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568629335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 031305 (Pennsylvania) | Secondary |
| 1223G0001X | Dentist - General Practice | 017224 (Pennsylvania) | Primary |
Lem It Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Erie St, Edinboro, PA 16412 Phone: 814-734-4444 | |
Pineo Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Erie St, Edinboro, PA 16412 Phone: 814-734-4451 Fax: 814-734-2863 |