Penn Family Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PENN FAMILY DENTAL INC

Doing business as

Penn Family Dental Inc

Practice address

190 W Park Ave Ste 11
Du Bois, PA 15801-2277

Phone

(814) 913-8136

Fax

(814) 509-4312

NPI assigned

Feb 15, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edward Bienvenido Minaya

Title

President

Phone

(814) 232-7985

Specialties & licenses 1

Addresses

Other names 1

• Penn Family Dental Inc Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1841055274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W PARK AVE STE 11",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012277",
            "telephone_number": "814-913-8136",
            "fax_number": "814-509-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W PARK AVE STE 11",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012277",
            "telephone_number": "814-913-8136",
            "fax_number": "814-509-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN FAMILY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "MINAYA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "BIENVENIDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-232-7985"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Family Dental Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanne Marie Patton, RN
• Wesley Michael Clark Paul, MD
• Eric P. Peck, D.O.
• Peg Armanini'S Hearing Healthcare, LLC
• Alyssa Marie Pendolino, LSW
• Penn Highlands Healthcare
• Penn Highlands Home Medical Equipment LLC
• Penn Highlands Life'S Journey
• Penn Highlands Radiology Inc
• Penn Traffic Co

• General Practice Dentistry in Du Bois, PA
• Providers in Du Bois, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.