# EDP OF PENNSYLVANIA, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDP OF PENNSYLVANIA, PC
- **Other names:** The Dentistry of Irwin
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124580188
- **Legal business name:** EDP OF PENNSYLVANIA, PC
- **Authorized official:** MRS. TANYA MILLER (MANAGING DIRECTOR)
- **Authorized official phone:** (913) 951-9644

## Contact information

- **Practice address:** 7546 STATE ROUTE 30, IRWIN, PA 15642-7528
- **Practice address phone:** (800) 312-1279
- **Mailing address:** 7546 STATE ROUTE 30, IRWIN, PA 15642-7528
- **Mailing address phone:** (312) 800-1270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/01/2019
- **Last updated:** 04/01/2019