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AFFORDABLE DENTURES - ERIE II P.C. NPI 1922010503


NPI Information

NPI: 1922010503
Provider Name: AFFORDABLE DENTURES - ERIE II, P.C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1101 PENINSULA DR
PENINSULA PLAZA SHOPPING CENTER, STE #210
ERIE, PA
ZIP 16505
Phone: (814) 833-7540
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AFFORDABLE DENTURES - ERIE II, P.C. is a dental clinic center in Erie, PA. AFFORDABLE DENTURES - ERIE II, P.C. NPI is 1922010503. The provider is registered as an organization entity type.

The provider's business location address is:

1101 PENINSULA DR
PENINSULA PLAZA SHOPPING CENTER, STE #210
ERIE, PA
ZIP 16505
Phone: (814) 833-7540
Fax: (814) 833-6455

The provider's authorized official is Sherif Fayez Fahmy Keriakes .
The authorized official title is Denitist/managing Dentist and has the following contact phone number (814) 833-7540.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental51851CALIFORNIANo
2261QD0000XClinic/CenterDentalDS030754L PAPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10019205030001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.