Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Erie Dental Inc

Organization General Practice Dentistry · NPI 1568629335

Lake Erie Dental Inc is a General Practice Dentistry in Edinboro, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

106 Waterford St
Edinboro, PA 16412
Phone: (814) 734-1814
Fax: (814) 734-7163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 017224 (PA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 031305 (PA)

Record details

NPI number1568629335
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLake Erie Dental Inc
Authorized official Kevin Sambuchino — President · (814) 734-1814
NPI enumeratedMay 20, 2008
Last updated in NPPESMay 20, 2008
Mailing address106 Waterford Street, Po Box 391, Edinboro, PA 16412

Other providers in Edinboro