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CCA DENTAL GROUP LLC
NPI 1609718006
Dentist - General Practice in Erie, PA

Active since April 07, 2026
5158 PEACH ST # 110, ERIE, PA 16509(814) 868-3647(814) 864-2715 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cca Dental Group Llc NPPES

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

CCA DENTAL GROUP LLC (NPI 1609718006) is a healthcare organization registered as a general practice in Erie, Pennsylvania and active in the NPI registry since April 2026. The organization lists Cortney Archbold, Manager, as its authorized official.

NPPES Registry Identity

NPI1609718006
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCCA DENTAL GROUP LLC
Location Address5158 PEACH ST # 110Erie, PA 16509-2489
Mailing Address5158 Peach St # 110Erie, PA 16509-2489 · (814) 868-3647 · Fax (814) 864-2715
Phone(814) 868-3647
Fax(814) 864-2715
Organization SubpartNo
Authorized OfficialCortney ArchboldManager · (814) 868-3647
Enumeration DateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1609718006 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.
5158 PEACH ST # 110, Erie, PA 16509
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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 Cca Dental Group LLC's NPI number?

The NPI number for Cca Dental Group LLC is 1609718006. It was assigned to this organization in the NPPES registry on April 7, 2026.

Where is Cca Dental Group LLC located?

Cca Dental Group LLC is located at 5158 Peach St # 110, Erie, PA 16509. The listed phone number is (814) 868-3647.

What is Cca Dental Group LLC'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 Cca Dental Group LLC was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.