Active NPI
Plaza Dental Associates PC
- Pediatric Dentistry
- Erie, PA
National Provider Identifier
1215030283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS019797L
- Legal business name
- PLAZA DENTAL ASSOCIATES PC
- Practice address
- 702 West 34TH St
Erie, PA 16508 - Phone
- (814) 868-5411
- Fax
- (814) 866-2105
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John H Damcott, DMD
- Title
- Associate Former Partner
- Phone
- (814) 868-5411
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Pediatric Dentistry | 1223P0221X | DS019797L | PA | Primary |
| Periodontics | 1223P0300X | DS016060L | PA |
Addresses
Primary practice location
702 West 34TH St
Erie, PA 16508
Mailing address
702 West 34TH St
Erie, PA 16508
Phone (814) 868-5411
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Erie, PA
- NPI 1093978348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1215030283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 WEST 34TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "16508",
"telephone_number": "814-868-5411",
"fax_number": "814-866-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 WEST 34TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "16508",
"telephone_number": "814-868-5411",
"fax_number": "814-866-2105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLAZA DENTAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "DAMCOTT",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "ASSOCIATE FORMER PARTNER",
"authorized_official_telephone_number": "814-868-5411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS019797L",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS016060L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.