Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idp Punxsutawney LLC

Organization General Practice Dentistry · NPI 1245672419

Idp Punxsutawney LLC provides General Practice Dentistry in Punxsutawney, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2013.

Licensed in
PA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

219 N Main St
Punxsutawney, PA 15767-1217 Not confirmed with CMS for 13 years — call before visiting
Phone: (814) 938-2222
Fax: (814) 938-0931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS018913L (PA)

Record details

NPI number1245672419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Smith — Operations Facilitator · (231) 739-5105
Other names John Regis Smelko
NPI enumeratedJuly 29, 2013
Last updated in NPPESJuly 29, 2013
Mailing address219 N Main St, Punxsutawney, PA 15767-1217

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