OrganizationActive
Johnsonburg Dental Center
NPI 1164514683 · Federally Qualified Health Center (FQHC) · Johnsonburg, PA
Provider details
- NPI number
- 1164514683
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Keystone Rural Health Consortia Inc
- Organization subpart
- Yes
- Authorized official
- Kristie Bennardi, Ceo(814) 486-1115
Specialties & taxonomies
Ambulatory Health Care Facilities
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
81 Clarion Rd
Johnsonburg, PA 15845-1656
Phone: (814) 965-5444
Fax: (814) 965-2238
Street-level locationGet directions
Mailing address
81 Clarion Rd
Johnsonburg, PA 15845-1656
Other names (DBA / former)
- Other name
- Keystone Rural Health Consortia, Inc.
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2019-12-16
- Certified
- 2019-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.