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TEMPLE UNIVERSITY NPI 1720526130


NPI Information

NPI: 1720526130
Provider Name: TEMPLE UNIVERSITY
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
3223 N BROAD ST
DEPT OF PERIODONTOLOGY
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-5774
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TEMPLE UNIVERSITY is a periodontics dentist in Philadelphia, PA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. TEMPLE UNIVERSITY NPI is 1720526130. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3223 N BROAD ST
DEPT OF PERIODONTOLOGY
PHILADELPHIA, PA
ZIP 19140-007
Phone: (215) 707-5774

The provider's authorized official is Keisuke Wada .
The authorized official title is Director Chair Of Periodontology and has the following contact phone number (215) 707-7667.

The enumeration date for this NPI number is 2/6/2017 and was last updated on 2/6/2017.


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
11223P0300XDentistPeriodontics0401414955VIRGINIAYes

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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