Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Parent organization
TEMPLE UNIVERSITY
Other names
TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE UNIVERSITY
Authorized official
ANGELINA FAGAN (FINANCIAL SUPERVISOR / MANAGER)
(215) 707-2828
Entity
Organization
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-7756
(215) 707-5885
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2912
(215) 707-5885
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007780130612
—
PA
Enumeration date
03/09/2006
Last updated
09/06/2024
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