1. Home
  2. Directory
  3. Wisconsin
  4. Hartland
  5. Clinic Center
  6. NPI Profile

EDP OF WISCONSIN, SC
NPI 1639685779
Clinic/Center - Dental in Hartland, WI

Active since December 27, 2017
600 HARTBROOK DR STOP 7, HARTLAND, WI 53029(262) 367-0680 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 14, 2021, Sep 16, 2019, May 9, 2018 and 1 more (4 updates tracked since 2017).

About Edp Of Wisconsin, Sc NPPES

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

EDP OF WISCONSIN, SC (NPI 1639685779) is a healthcare organization registered as a dental in Hartland, Wisconsin and active in the NPI registry since December 2017. The organization maintains 9 additional practice locations and lists Melissa Garibay, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1639685779
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEDP OF WISCONSIN, SC
Location Address600 HARTBROOK DR STOP 7Hartland, WI 53029-1436
Mailing Address141 W Jackson Blvd Ste 210Chicago, IL 60604-3048 · (312) 937-3619
Phone(262) 367-0680
Organization SubpartNo
Authorized OfficialMelissa GaribayCredentialing Manager · (312) 736-8963
Enumeration DateDecember 27, 2017
Last NPPES UpdateSeptember 14, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
✔ NPI 1639685779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
600 HARTBROOK DR STOP 7, Hartland, WI 53029
Open in Google Maps ↗

Secondary Practice Locations 9

Location 1820 Summit AveOconomowoc, WI 53066-3973 · Phone (262) 567-4466
Location 2655 Deerwood AveNeenah, WI 54956-1629 · Phone (920) 727-9595
Location 31825 N Martin Luther King DrMilwaukee, WI 53212-3673 · Phone (414) 372-7374
Location 46121 7th AveKenosha, WI 53143-4506 · Phone (262) 654-6535
Location 57425 Main St WWebster, WI 54893-8207 · Phone (715) 866-4204
Location 6302 S Pine StGrantsburg, WI 54840-7930 · Phone (715) 463-2882
Location 7141 W Jackson Blvd Ste 210Chicago, IL 60604-3048 · Phone (312) 736-8963
Location 817160 W North Ave Ste 101Brookfield, WI 53005-4437 · Phone (262) 782-1655
Location 97020 N Port Washington Rd Ste 216Glendale, WI 53217-3800 · Phone (414) 964-0680

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Wisconsin, Sc's NPI number?

The NPI number for Edp Of Wisconsin, Sc is 1639685779. It was assigned to this organization in the NPPES registry on December 27, 2017.

Where is Edp Of Wisconsin, Sc located?

Edp Of Wisconsin, Sc is located at 600 Hartbrook Dr Stop 7, Hartland, WI 53029. The listed phone number is (262) 367-0680.

What is Edp Of Wisconsin, Sc's specialty?

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

What insurance does Edp Of Wisconsin, Sc accept?

Health plans from UnitedHealthcare list Edp Of Wisconsin, Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edp Of Wisconsin, Sc was last updated on September 14, 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.