Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lake Erie Dental Inc

Organization General Practice Dentistry · NPI 1568629335

Lake Erie Dental Inc provides 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 Not confirmed with CMS for 18 years — call before visiting
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

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