# ANNA KORNBROT DMD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1992713796
- **Authorized official:** DR. ANNA KORNBROT DMD (PRESIDENT)
- **Authorized official phone:** (215) 563-6263

## Contact information

- **Practice address:** 1601 WALNUT STREET, STE 902, PHILA, PA 19102
- **Practice address phone:** (215) 563-6263
- **Practice address fax:** (215) 563-9898
- **Mailing address:** 1601 WALNUT STREET, STE 902, PHILA, PA 19102
- **Mailing address phone:** (215) 563-6263
- **Mailing address fax:** (215) 563-9898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS021370L | PA | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 03/20/2012