Organization
CCA DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORTNEY ARCHBOLD DDS (MANAGER)
(814) 868-3647
Entity
Organization
Contact information
Practice address
5158 PEACH ST # 110, ERIE, PA 16509-2489
(814) 868-3647
(814) 864-2715
Mailing address
5158 PEACH ST # 110, ERIE, PA 16509-2489
(814) 868-3647
(814) 864-2715
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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