NPIMap

Edp of Wisconsin, SC

Organization Active NPI Dental Clinic/Center · Hartland, WI

NPI 1639685779 · NPPES record last updated Sep 14, 2021

Key facts

NPI
1639685779
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
EDP OF WISCONSIN, SC
Practice address
600 Hartbrook Dr Stop 7
Hartland, WI 53029-1436
Phone
(262) 367-0680
NPI assigned
Dec 27, 2017
Organization subpart
No

Authorized official

Name
Melissa Garibay
Title
Credentialing Manager
Phone
(312) 736-8963

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Edp of Wisconsin SC (4 organizations share this tax ID)

Locations

17160 W North Ave
Ste 101
Brookfield, WI 53005
Phone (262) 782-1655

7020 N Port Washington Rd
Ste 216
Glendale, WI 53217
Phone (414) 964-0680

600 Hartbrook Dr
Stop 7
Hartland, WI 53029
Phone (262) 367-0680

6121 7th Ave
Kenosha, WI 53143
Phone (262) 654-6535

105 W Silver Spring Dr
Whitefish Bay, WI 53217
Phone (414) 964-0680

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

600 Hartbrook Dr Stop 7
Hartland, WI 53029-1436

Mailing address

141 W Jackson Blvd Ste 210
Chicago, IL 60604-3048
Phone (312) 937-3619

Other practice location 1

7425 Main St W
Webster, WI 54893-8207
Phone (715) 866-4204

Other practice location 2

820 Summit Ave
Oconomowoc, WI 53066-3973
Phone (262) 567-4466

Other practice location 3

655 Deerwood Ave
Neenah, WI 54956-1629
Phone (920) 727-9595

Other practice location 4

1825 N Martin Luther King Dr
Milwaukee, WI 53212-3673
Phone (414) 372-7374

Other practice location 5

6121 7th Ave
Kenosha, WI 53143-4506
Phone (262) 654-6535

Other practice location 6

302 S Pine St
Grantsburg, WI 54840-7930
Phone (715) 463-2882

Other practice location 7

7020 N Port Washington Rd Ste 216
Glendale, WI 53217-3800
Phone (414) 964-0680

Other practice location 8

17160 W North Ave Ste 101
Brookfield, WI 53005-4437
Phone (262) 782-1655

Other practice location 9

141 W Jackson Blvd Ste 210
Chicago, IL 60604-3048
Phone (312) 736-8963

Other providers in Hartland, WI

All providers in Hartland, WI · Dental Clinic/Center in Wisconsin

Sources for this page

Verify at the official NPI Registry.