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 is a 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
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

Other providers in Punxsutawney