OrganizationActive
Idp Punxsutawney LLC
NPI 1245672419 · General Practice Dentistry · Punxsutawney, PA
Idp Punxsutawney LLC is a General Practice Dentistry organization in Punxsutawney, PA (NPI 1245672419).
Provider details
- NPI number
- 1245672419
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Julie Smith, Operations Facilitator(231) 739-5105
- License
- DS018913L (PA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
219 N Main St
Punxsutawney, PA 15767-1217
Phone: (814) 938-2222
Fax: (814) 938-0931
Street-level locationGet directions
Mailing address
219 N Main St
Punxsutawney, PA 15767-1217
Other names (DBA / former)
- Former legal business name
- John Regis Smelko
Registry dates
- Enumerated
- 2013-07-29
- Last updated
- 2013-07-29
Frequently asked questions
- What is Idp Punxsutawney LLC's NPI number?
- Idp Punxsutawney LLC's National Provider Identifier (NPI) is 1245672419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idp Punxsutawney LLC?
- Idp Punxsutawney LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Idp Punxsutawney LLC located?
- Idp Punxsutawney LLC's practice location on file with NPPES is 219 N Main St, Punxsutawney, PA 15767-1217.
- What is Idp Punxsutawney LLC's phone number?
- The practice phone number listed in the NPPES registry for Idp Punxsutawney LLC is (814) 938-2222.
- Who is the authorized official for Idp Punxsutawney LLC?
- The authorized official listed on Idp Punxsutawney LLC's NPPES record is Julie Smith, Operations Facilitator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idp Punxsutawney LLC's NPI active?
- Yes — Idp Punxsutawney LLC's NPI (1245672419) is active in the NPPES registry as of the last update on 2013-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.