Peace Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PEACE DENTAL ASSOCIATES

Practice address

35 S 2ND Ave
Clarion, PA 16214-1934

Phone

(814) 226-8690

NPI assigned

Jun 5, 2020

Last updated

Jun 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole L Peace, DMDNPI 1164045852

Title

Dentist/Owner

Phone

(412) 874-9229

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Peace

  • Dentist
  • Glenshaw, PA
  • NPI 1164045852
  NPD Authorized official
• Joshua M Polacek

  • General Practice Dentistry
  • Clarion, PA
  • NPI 1396360137
  NPD

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1447874490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 MOUNT ROYAL BLVD",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151162207",
            "telephone_number": "814-421-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S 2ND AVE",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141934",
            "telephone_number": "814-226-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "PEACE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "412-874-9229",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Overheim, CRC, LPC
• Kelly L Owens, O.D.
• Chong Min Park, MD
• Stephanie Pasquarette, CRNP
• Carmen Danielle Pastor, MS, LAT, ATC
• Penn Traffic Co (Bilo Foods and Pharmacy 9207)
• Pennsylvania CVS Pharmacy, L.L.C.
• Pennsylvania Western University
• Anie G Perard, M.D.
• Matthew James Peters, LMSW

• General Practice Dentistry in Clarion, PA
• Providers in Clarion, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.