Provider Type Icon

UNIVERSITY OF PENN - ORAL SURGERY ASSOCIATES NPI 1912011321


NPI Information

NPI: 1912011321
Provider Name: UNIVERSITY OF PENN - ORAL SURGERY ASSOCIATES
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
3400 SPRUCE ST
5 WHITE BUILDING
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-3580
Get Directions

UNIVERSITY OF PENN - ORAL SURGERY ASSOCIATES 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. UNIVERSITY OF PENN - ORAL SURGERY ASSOCIATES NPI is 1912011321. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 SPRUCE ST
5 WHITE BUILDING
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-3580
Fax: (215) 662-7445

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 8/19/2006 and was last updated on 1/6/2014.


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 SurgeryYes

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
1CA2596OTHERPENNSYLVANIARR MEDICARE
22Y20463OTHERPENNSYLVANIAHEALTHNET
307658OTHERPENNSYLVANIAHEALTHPARTNERS
41008672OTHERPENNSYLVANIAKEYSTONE MERCY
5181611MEDICARE PINPENNSYLVANIA
6181611OTHERPENNSYLVANIABLUE SHIELD
70019334710MEDICAIDPENNSYLVANIA
80060894000OTHERPENNSYLVANIAKEYSTONE
9119663OTHERPENNSYLVANIAAETNA
107417705OTHERNEW JERSEYNJ MEDICAID

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.