Organization
PEDIATRIC DENTISTRY OF ERIE LLC
Active
Other names
Pediatric Dentistry of Erie
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SHAPTER DDS (OWNER MEMBER)
(814) 868-8673
Entity
Organization
Contact information
Practice address
128 W 12TH ST STE 300, ERIE, PA 16501-1753
(814) 868-8673
(814) 866-0232
Mailing address
128 W 12TH ST STE 300, ERIE, PA 16501-1753
(814) 868-8673
(814) 866-0232
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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