# JEFFERSON UNIVERSITY PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033564315
- **Authorized official:** DAWN PADGETT (CREDENTIALING MANAGER)
- **Authorized official phone:** (215) 955-1175

## Contact information

- **Practice address:** 833 CHESTNUT ST, SUITE 630, PHILADELPHIA, PA 19107-4414
- **Practice address phone:** (215) 955-0800
- **Mailing address:** PO BOX 828937, PHILADELPHIA, PA 19182-8937
- **Mailing address phone:** (215) 503-1240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | PA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2016
- **Last updated:** 06/13/2024