| Plaza Dental Associates Pc | |
|
702 West 34th St Erie PA 16508 | |
| (814) 868-5411 | |
| (814) 866-2105 |
| Full Name | Plaza Dental Associates Pc |
|---|---|
| Speciality | Dentist |
| Location | 702 West 34th St, Erie, Pennsylvania |
| Authorized Official Name and Position | John H Damcott (ASSOCIATE FORMER PARTNER) |
| Authorized Official Contact | 8148685411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Dental Associates Pc 702 West 34th St Erie PA 16508 Ph: (814) 868-5411 | Plaza Dental Associates Pc 702 West 34th St Erie PA 16508 Ph: (814) 868-5411 |
| NPI Number | 1215030283 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7911210711 |
|---|---|
| Medicare Enrollment ID | O20150723006612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215030283 | NPI | - | NPPES |
| Provider Name | Douglas Weber |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740257922 PECOS PAC ID: 3274859780 Enrollment ID: I20150727000953 |
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