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General NPI Number Information
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NPI Number | 1376699470
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Entity Type | Organization
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Legal Business Name | SUMMIT DENTAL ASSOCIATES, P. C
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 1341 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16508-1401
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Country | US
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Telephone | 814-452-1632
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Fax | 814-456-5372
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Provider Business Mailing Address
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Address Line | 1341 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16508-1401
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Country | US
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Telephone | 814-452-1632
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Fax | 814-456-5372
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY CERMINARA
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Credential | DMD
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Telephone | 814-452-1632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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