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Organization
ERIE DENTAL SLEEP THERAPY, LLC
Active
Organization
ERIE DENTAL SLEEP THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H. TUCKER DMD (OWNER)
(814) 836-7777
Entity
Organization
Contact information
Practice address
3736 STERRETTANIA RD, ERIE, PA 16506-2829
(814) 836-2866
(814) 217-6811
Mailing address
3736 STERRETTANIA RD, ERIE, PA 16506-2829
(814) 836-2866
(814) 217-6811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS023159L
PA
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6524740001
PTAN
—
Enumeration date
03/10/2011
Last updated
12/08/2025
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