PEDIATRIC DENTISTRY OF ERIE LLC
NPI 1366114928
Dentist - Pediatric Dentistry in Erie, PA

Q: What is Pediatric Dentistry Of Erie LLC's NPI number?

The NPI number for Pediatric Dentistry Of Erie LLC is 1366114928. It was assigned to this organization in the NPPES registry on October 1, 2021. The provider was formerly known as Pediatric Dentistry of Erie.

Q: What is Pediatric Dentistry Of Erie LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since October 01, 2021

128 W 12TH ST STE 300, ERIE, PA 16501(814) 868-8673(814) 866-0232 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Pediatric Dentistry Of Erie Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DENTISTRY OF ERIE LLC (NPI 1366114928), doing business as Pediatric Dentistry Of Erie, is a healthcare organization registered as a pediatric dentistry in Erie, Pennsylvania and active in the NPI registry since October 2021. The organization lists David Shapter, Owner Member, as its authorized official.

NPPES Registry Identity

NPI1366114928

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePEDIATRIC DENTISTRY OF ERIE LLC

Location Address128 W 12TH ST STE 300Erie, PA 16501-1753

Mailing Address128 W 12th St Ste 300Erie, PA 16501-1753 · (814) 868-8673 · Fax (814) 866-0232

Phone(814) 868-8673

Fax(814) 866-0232

Organization SubpartNo

Authorized OfficialDavid ShapterOwner Member · (814) 868-8673

Enumeration DateOctober 1, 2021

NPPES CertifiedOctober 1, 2021

✔ NPI 1366114928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

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.

128 W 12TH ST STE 300, Erie, PA 16501

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Other Names 1

Former Legal Business NamePediatric Dentistry Of Erie

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dentistry Of Erie LLC's NPI number?

The NPI number for Pediatric Dentistry Of Erie LLC is 1366114928. It was assigned to this organization in the NPPES registry on October 1, 2021. The provider was formerly known as Pediatric Dentistry of Erie.

Where is Pediatric Dentistry Of Erie LLC located?

Pediatric Dentistry Of Erie LLC is located at 128 W 12th St Ste 300, Erie, PA 16501. The listed phone number is (814) 868-8673.

What is Pediatric Dentistry Of Erie LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Of Erie LLC was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.