OrganizationActive
Edp of Wisconsin, Sc
NPI 1639685779 · Dental Clinic/Center · Hartland, WI
Edp of Wisconsin, Sc is a Dental Clinic/Center organization in Hartland, WI (NPI 1639685779).
Provider details
- NPI number
- 1639685779
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melissa Garibay, Credentialing Manager(312) 736-8963
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
10 documented practice locations
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
600 Hartbrook Dr Stop 7
Hartland, WI 53029-1436
Phone: (262) 367-0680
Street-level locationGet directions
Mailing address
141 W Jackson Blvd Ste 210
Chicago, IL 60604-3048
Additional practice locations (9)
- 141 W Jackson Blvd Ste 210Chicago, IL 60604-3048Phone: (312) 736-8963
- 17160 W North Ave Ste 101Brookfield, WI 53005-4437Phone: (262) 782-1655
- 7020 N Port Washington Rd Ste 216Glendale, WI 53217-3800Phone: (414) 964-0680
- 302 S Pine StGrantsburg, WI 54840-7930Phone: (715) 463-2882
- 6121 7th AveKenosha, WI 53143-4506Phone: (262) 654-6535
- 1825 N Martin Luther King DrMilwaukee, WI 53212-3673Phone: (414) 372-7374
- 655 Deerwood AveNeenah, WI 54956-1629Phone: (920) 727-9595
- 820 Summit AveOconomowoc, WI 53066-3973Phone: (262) 567-4466
- 7425 Main St WWebster, WI 54893-8207Phone: (715) 866-4204
Registry dates
- Enumerated
- 2017-12-27
- Last updated
- 2021-09-14
- Certified
- 2021-09-14
Frequently asked questions
- What is Edp of Wisconsin, Sc's NPI number?
- Edp of Wisconsin, Sc's National Provider Identifier (NPI) is 1639685779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edp of Wisconsin, Sc?
- Edp of Wisconsin, Sc is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Edp of Wisconsin, Sc located?
- Edp of Wisconsin, Sc's practice location on file with NPPES is 600 Hartbrook Dr Stop 7, Hartland, WI 53029-1436.
- What is Edp of Wisconsin, Sc's phone number?
- The practice phone number listed in the NPPES registry for Edp of Wisconsin, Sc is (262) 367-0680.
- Who is the authorized official for Edp of Wisconsin, Sc?
- The authorized official listed on Edp of Wisconsin, Sc's NPPES record is Melissa Garibay, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edp of Wisconsin, Sc's NPI active?
- Yes — Edp of Wisconsin, Sc's NPI (1639685779) is active in the NPPES registry as of the last update on 2021-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.