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LAKE ERIE DENTAL INC
NPI 1568629335
Dentist - General Practice in Edinboro, PA

Active since May 20, 2008
106 WATERFORD STREET, EDINBORO, PA 16412(814) 734-1814(814) 734-7163 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Erie Dental Inc NPPES

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

LAKE ERIE DENTAL INC (NPI 1568629335) is a healthcare organization registered as a general practice in Edinboro, Pennsylvania and active in the NPI registry since May 2008. The organization lists Kevin Sambuchino, President, as its authorized official.

NPPES Registry Identity

NPI1568629335
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKE ERIE DENTAL INC
Location Address106 WATERFORD STREETEdinboro, PA 16412
Mailing Address106 Waterford Street, Po Box 391Edinboro, PA 16412 · (814) 734-1814 · Fax (814) 734-7163
Phone(814) 734-1814
Fax(814) 734-7163
Organization SubpartYes
Authorized OfficialKevin SambuchinoPresident · (814) 734-1814
Enumeration DateMay 20, 2008
✔ NPI 1568629335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in PA · 017224✔ Licensed in PA · 031305
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.
106 WATERFORD STREET, Edinboro, PA 16412
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Lake Erie Dental Inc's NPI number?

The NPI number for Lake Erie Dental Inc is 1568629335. It was assigned to this organization in the NPPES registry on May 20, 2008.

Where is Lake Erie Dental Inc located?

Lake Erie Dental Inc is located at 106 Waterford Street, Edinboro, PA 16412. The listed phone number is (814) 734-1814.

What is Lake Erie Dental Inc'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 Lake Erie Dental Inc was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.