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TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA NPI 1629128814


NPI Information

NPI: 1629128814
Provider Name: TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA

Other Name: SCHOOL OF DENTAL MEDICINE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
240 SOUTH 40TH STREET
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 898-3576
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TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA is a general practice dentist in Philadelphia, PA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA NPI is 1629128814. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is School Of Dental Medicine.

The provider's business location address is:

240 SOUTH 40TH STREET
PHILADELPHIA, PA
ZIP 19104-003
Phone: (215) 898-3576
Fax: (215) 573-4106

The provider's authorized official is Joseph William Wolk .
The authorized official title is Director,patient Revenue and has the following contact phone number (215) 898-3576.

The enumeration date for this NPI number is 1/11/2007 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
11223G0001XDentistGeneral PracticeDS021779LPENNSYLVANIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.