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 Kornberg School of Dentistry OS
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
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2900
(215) 707-5885
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2900
(215) 707-5885
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
Other
Enumeration date
07/21/2023
Last updated
05/12/2026
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