EDP OF PENNSYLVANIA PC
NPI 1366958407
Clinic/Center - Dental in Johnstown, PA

Active since December 27, 2017
1390 EISENHOWER BLVD, JOHNSTOWN, PA 15904(814) 535-5244 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2021, Sep 14, 2021, Apr 10, 2020 and 3 more (6 updates tracked since 2017).

About Edp Of Pennsylvania Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDP OF PENNSYLVANIA PC (NPI 1366958407) is a healthcare organization registered as a dental in Johnstown, Pennsylvania and active in the NPI registry since December 2017. The organization maintains 10 additional practice locations and lists Melissa Garibay, Credentialing Mngr., as its authorized official.

NPPES Registry Identity

NPI1366958407
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEDP OF PENNSYLVANIA PC
Location Address1390 EISENHOWER BLVDJohnstown, PA 15904-3216
Mailing Address141 W Jackson Blvd Ste 210Chicago, IL 60604-3048 · (312) 800-1270
Organization SubpartNo
Authorized OfficialMelissa GaribayCredentialing Mngr. · (312) 736-8963
Enumeration DateDecember 27, 2017
Last NPPES UpdateSeptember 20, 20216 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
NPI 1366958407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1390 EISENHOWER BLVD, Johnstown, PA 15904

Secondary Practice Locations 10

Location 17546 State Route 30Irwin, PA 15642-7528 · Phone (724) 864-2888
Location 24328 Old William Penn HwyMonroeville, PA 15146-1496 · Phone (412) 373-7777
Location 3300 Fleet St Ste 200Pittsburgh, PA 15220-2921 · Phone (412) 937-9070
Location 4841 Clairton BlvdPleasant Hills, PA 15236-4518 · Phone (412) 655-9600
Location 55 Commerce AveSelinsgrove, PA 17870-7615 · Phone (570) 374-3368
Location 64945 Homeville RdWest Mifflin, PA 15122-2956 · Phone (412) 466-9466
Location 72120 Fisher RdMechanicsburg, PA 17055-5122 · Phone (717) 795-9392
Location 826 Roth Church RdSpring Grove, PA 17362-1406 · Phone (717) 225-5741
Location 91500 Market St Ste C-41Philadelphia, PA 19102-2100 · Phone (215) 972-0406
Location 10141 W Jackson Blvd Ste 210Chicago, IL 60604-3048 · Phone (312) 800-1270

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1390 EISENHOWER BLVD
JOHNSTOWN, PA 15904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edp Of Pennsylvania PC's NPI number?

The NPI number for Edp Of Pennsylvania PC is 1366958407. It was assigned to this organization in the NPPES registry on December 27, 2017.

Where is Edp Of Pennsylvania PC located?

Edp Of Pennsylvania PC is located at 1390 Eisenhower Blvd, Johnstown, PA 15904. The listed phone number is (814) 535-5244.

What is Edp Of Pennsylvania PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Edp Of Pennsylvania PC was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.