# ERIE DENTAL SLEEP THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811295181
- **Authorized official:** DR. JOHN H. TUCKER DMD (OWNER)
- **Authorized official phone:** (814) 836-7777

## Contact information

- **Practice address:** 3736 STERRETTANIA RD, ERIE, PA 16506-2829
- **Practice address phone:** (814) 836-2866
- **Practice address fax:** (814) 217-6811
- **Mailing address:** 3736 STERRETTANIA RD, ERIE, PA 16506-2829
- **Mailing address phone:** (814) 836-2866
- **Mailing address fax:** (814) 217-6811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS023159L | PA | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 03/10/2011
- **Last updated:** 12/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6524740001 | PTAN | — |