PEACH STREET DENTAL & DENTURES, PC. (NPI# 1770854549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770854549 |
| Entity Type | Organization |
| Organization Name | PEACH STREET DENTAL & DENTURES, PC. |
| Other Organization Name | PEACH STREET DENTAL & DENTAL |
| Practice Address |
7040 Peach St Erie PA 16509 |
| Practice Telephone | 8148667500 |
| Practice Fax Number | 8148667555 |
| Mailing Telephone | 8148667500 |
| Mailing Fax Number | 8148667555 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |
| Authorized Official Name | DR. AMAN U SYED (PRESIDENT) |
| Authorized Official Telephone | 7164001868 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 126800000X | Dental Assistant | Dental Providers | ||
| N | 126900000X | Dental Laboratory Technician | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Peach Street Dental & Dental | Doing Business As Name - Organization |
| Street Address |
7040 PEACH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962886747 | Simrati Rahi | Dentist | 7040 Peach St, Erie, PA 16509-4705 | 2015-07-12 |
| 1760879720 | Ajapal S Bhangu | Dentist | 7040 Peach St, Erie, PA 16509-4705 | 2015-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| 1780981621 | Debra K Brown | Social Worker | 5535 Peach Street, Lecom Senior Living Center, Erie, PA 16509 | 2011-02-11 |
| Find all providers in zip 16509 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518453059 | Basman Kraidi | Dentist | 7165 Peach St, Erie, PA 16509-4764 | 2018-07-09 |
| 1528552593 | Emily Engler | Dentist | 1927 State Highway 7 Unit 101, Erie, CO 80516-8006 | 2018-06-21 |
| 1326553819 | Colorado Dental Professionals, LLC | Dentist | 2297 State Highway 7, Erie, CO 80516-8009 | 2017-12-06 |
| 1255843975 | Colorado Dental Professionals, LLC | Dentist | 440 Erie Pkwy, Erie, CO 80516 | 2017-11-03 |
| 1033659321 | T. Brian Cope D.d.s. P.C. | Dentist | 71 Erie Parkway, Suite 101, Erie, CO 80516 | 2017-03-06 |
| 1417499955 | Nathan Angus | Dentist | 71 Erie Pkwy, Suite 101, Erie, CO 80516-2519 | 2016-11-15 |
| 1851745970 | Laura Roper Kuhne | Dentist | 3140 Village Vista Dr Unit 108, Erie, CO 80516-2529 | 2016-04-14 |
| 1174876288 | Perfect Teeth / Erie P.c | Dentist | 3331 Arapahoe Rd, Unit 30, Erie, CO 80516-6007 | 2012-10-26 |
| 1134474364 | Madhur Patil | Dentist | 1611 Peach St Ste 465, Erie, PA 16501-2129 | 2012-07-13 |
| 1508154485 | Edward P Spiegel Dds Inc | Dentist | 3563 Aberdeen Ave, Erie, PA 16506-2715 | 2011-07-13 |
| Find all providers in ERIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.