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)
—
—
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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