Dental Arts of Erie

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL ARTS OF ERIE

Practice address

4330 Peach St
Erie, PA 16509-1443

Phone

(814) 315-6209

NPI assigned

Sep 27, 2021

Last updated

Sep 27, 2021By 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

Dr. Timothy Theisen, DMDNPI 1003259797

Title

Owner

Phone

(814) 315-6209

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Timothy McMichael Theisen, DMD

  • Dentist
  • Erie, PA
  • NPI 1003259797

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1811668957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091443",
            "telephone_number": "814-315-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091443",
            "telephone_number": "814-315-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS OF ERIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "THEISEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-315-6209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis M Scully, MD
• David Dennis, MS, ATC
• Peter Dennis, DDS
• Baron Takayuki Denniston, M.D.
• Sean Dent
• Dental Services of Western Pennsylvania, LLC (Aspen Dental)
• Katie Depanfilis, LPC
• Department of Military Affairs Commonwealth of Pennsylvania (PA Soldiers' and Sailors' Home Pharmacy)
• Matthew A Depaul, CRNP
• Peter L Depowski, MD

• General Practice Dentistry in Erie, PA
• Providers in Erie, 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 Sep 27, 2021; 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.