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TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA NPI 1497874077


NPI Information

NPI: 1497874077
Provider Name: TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
240 S 40TH ST
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 898-5344
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TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA is an oral maxillofacial surgery in Philadelphia, PA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA NPI is 1497874077. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

240 S 40TH ST
PHILADELPHIA, PA
ZIP 19104-030
Phone: (215) 898-5344
Fax: (215) 898-3139

The provider's authorized official is Elizabeth Johnston .
The authorized official title is Executive Director and has the following contact phone number (215) 662-7583.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial SurgeryPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
134461OTHERPENNSYLVANIAHEALTHPARTNERS
21001258770MEDICAIDPENNSYLVANIA
32349332000OTHERPENNSYLVANIAKEYSTONE
43537018OTHERPENNSYLVANIAAETNA
530015487OTHERPENNSYLVANIAKEYSTONE MERCY
61674675OTHERPENNSYLVANIABLUE SHIELD
7DD5746OTHERPENNSYLVANIARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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