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 Tamaqua Dental Clinic and Educational Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Authorized official
CRISTINA VALENTIN (CREDENTIALING MANAGER)
(215) 707-0297
Entity
Organization
Contact information
Practice address
205 CENTER ST, TAMAQUA, PA 18252-2416
(570) 225-9951
(570) 225-9952
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2912
(215) 707-5885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/22/2026
Last updated
06/23/2026
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