# PEACH STREET DENTAL & DENTURES, PC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peach Street Dental & Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770854549
- **Authorized official:** DR. AMAN U SYED (PRESIDENT)
- **Authorized official phone:** (716) 400-1868

## Contact information

- **Practice address:** 7040 PEACH ST, ERIE, PA 16509
- **Practice address phone:** (814) 866-7500
- **Practice address fax:** (814) 866-7555
- **Mailing address:** 7040 PEACH ST, ERIE, PA 16509
- **Mailing address phone:** (814) 866-7500
- **Mailing address fax:** (814) 866-7555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | — |
| 1223D0001X | Public Health Dentistry | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 126800000X | Dental Assistant | — | NULL | — |
| 126800000X | Dental Assistant | — | — | — |
| 126900000X | Dental Laboratory Technician | — | NULL | — |
| 126900000X | Dental Laboratory Technician | — | — | — |

## Other

- **Enumeration date:** 01/25/2012
- **Last updated:** 01/25/2012