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Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Parent organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Other names
Temple University Faculty Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Authorized official
ANGELINA FAGAN (FINANCIAL SUPERVISOR/MANAGER)
(215) 707-2828
Entity
Organization
Contact information
Practice address
545 N BROAD ST UNIT 102, PHILADELPHIA, PA 19123-3592
(215) 707-2200
(215) 707-3488
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2900
(215) 707-5885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
10/05/2023
Last updated
08/13/2025
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