STATE STREET DENTAL PLLC
NPI 1548110174
Dentist - General Practice in Erie, PA

Active since February 02, 2026

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About State Street Dental Pllc NPPES

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

STATE STREET DENTAL PLLC (NPI 1548110174), doing business as State Street Dental, is a healthcare organization registered as a general practice in Erie, Pennsylvania and active in the NPI registry since February 2026. The organization lists Kevin Sambuchino, Owner, as its authorized official.

NPPES Registry Identity

NPI1548110174
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTATE STREET DENTAL PLLC
Location Address3419 STATE STErie, PA 16508-2831
Mailing Address3419 State StErie, PA 16508-2831 · (814) 456-7821
Organization SubpartNo
Authorized OfficialKevin SambuchinoOwner · (814) 456-7821
Enumeration DateFebruary 2, 2026
NPPES CertifiedFebruary 2, 2026
NPI 1548110174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3419 STATE ST, Erie, PA 16508

Other Names 1

Doing Business AsState Street Dental

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3419 STATE ST
ERIE, PA 16508
Dentist
3419 STATE ST
ERIE, PA 16508

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 State Street Dental PLLC's NPI number?

The NPI number for State Street Dental PLLC is 1548110174. It was assigned to this organization in the NPPES registry on February 2, 2026. The provider is doing business as State Street Dental.

Where is State Street Dental PLLC located?

State Street Dental PLLC is located at 3419 State St, Erie, PA 16508. The listed phone number is (814) 456-7821.

What is State Street Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for State Street Dental PLLC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.