Organization Active NPI

Erie Dentistry Implants Dentures Inc

  • Dental Clinic/Center
  • Erie, PA
National Provider Identifier
1396659462
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ERIE DENTISTRY IMPLANTS DENTURES INC
Practice address
5942 Peach St Ste 3
Erie, PA 16509-3440
Phone
(814) 580-5000
Fax
(582) 228-5886
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carolyn Bates
Title
Director of Finance
Phone
(716) 622-1592

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary
General Practice Dentistry 1223G0001X NU

Addresses

Primary practice location

5942 Peach St Ste 3
Erie, PA 16509-3440

Mailing address

5942 Peach St Ste 3
Erie, PA 16509-3440
Phone (814) 580-5000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1396659462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5942 PEACH ST STE 3",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093440",
            "telephone_number": "814-580-5000",
            "fax_number": "582-228-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5942 PEACH ST STE 3",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093440",
            "telephone_number": "814-580-5000",
            "fax_number": "582-228-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE DENTISTRY IMPLANTS DENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "716-622-1592"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "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 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.