AFFORDABLE DENTURES - ERIE II, P.C.; NPI #1922010503

Contact Information

AFFORDABLE DENTURES - ERIE II, P.C.

1101 PENINSULA DR
PENINSULA PLAZA SHOPPING CENTER, STE #210
ERIE, PA 16505

Phone: 814-833-7540
Fax: 814-833-6455
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for AFFORDABLE DENTURES - ERIE II, P.C.

NPI Number 1922010503

LBN Legal business name AFFORDABLE DENTURES - ERIE II, P.C.

Authorized official SHERIF KERIAKES - (DENITIST/MANAGING DENTIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/12/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

CA	License #	51851
PA	License #	DS030754L PA
PA	Medicaid	0019205030001

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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