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NPI Code Detail

MEDICARE: SEAN DENT

MEDICARE: SEAN DENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse PractitionerSP012920PA

General Provider Information

NPI Number : 1194165894
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN DENT
Provider Business Mailing Address
First Line : 204 W 26TH ST
Second Line :
City : ERIE
State : PA
Zip : 16508-1806
Country : US
Telephone Number : 814-864-4755
Fax Number : 814-864-5430
Provider Business Practice Location Address
First Line : 204 W 26TH ST
Second Line :
City : ERIE
State : PA
Zip : 16508-1806
Country : US
Telephone Number : 814-864-4755
Fax Number : 814-864-5430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2013
Last Update Date : 06/09/2026

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Directions to “ SEAN DENT ” Practice Location

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