TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY (NPI# 1841268604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841268604 |
Entity Type | Organization |
Organization Name | TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY |
Practice Address |
3223 N Broad St Philadelphia PA 19140-5007 |
Practice Telephone | 2157077756 |
Practice Fax Number | 2157075885 |
Mailing Telephone | 2157077756 |
Mailing Fax Number | 2157075885 |
Enumeration Date | 2006-03-09 |
Last Update Date | 2020-02-05 |
Authorized Official Name | ANGELINA FAGAN (FINANCIAL SUPERVISOR / MANAGER) |
Authorized Official Telephone | 2157072828 |
Is Organization Subpart | Y |
Parent Organization Name | TEMPLE UNIVERSITY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1007780130612 | 05 |
Street Address |
3223 N BROAD ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19140-5007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871581959 | Dione J Cash | Pediatrics | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2005-10-12 |
1992313357 | Amir Maki | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-21 |
1386252070 | Maria Jun | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-19 |
1407464423 | Ping Wang | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-15 |
1104450535 | Vladimir Flys | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-02-25 |
1366090094 | Nicholas Bizzaro | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-08-27 |
1619537743 | Thomas Adel | Student in an Organized Health Care Education/Training Program | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-06-20 |
1972163897 | Divya Trikannad | Student in an Organized Health Care Education/Training Program | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-06-13 |
1588221717 | Joseph Leonard Mustazza | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-05-22 |
1790341048 | Gregory Ramirez | Student in an Organized Health Care Education/Training Program | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-05-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
Find all providers in zip 19140 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124642897 | Walnut Street Smiles PC | Clinic/Center | 1601 Walnut St Ste 1025, Philadelphia, PA 19102-2911 | 2020-05-29 |
1215574355 | Smile Team PC | Clinic/Center | 9301 Banes St, Philadelphia, PA 19115-4201 | 2019-12-09 |
1558913129 | Advanced Dentistry of Center City | Clinic/Center | 1601 Walnut St Ste 600, Philadelphia, PA 19102-2904 | 2019-07-12 |
1841852241 | Cil Institute Inc | Clinic/Center | 3508 Market St Ste 256, Philadelphia, PA 19104-3320 | 2019-07-05 |
1154982775 | K Dental LLC | Clinic/Center | 6214 Bustleton Avenue, Philadelphia, PA 19149 | 2019-06-25 |
1598221129 | Minard Duka Dmd PC | Clinic/Center | 9501 Hilspach St, Philadelphia, PA 19115-3918 | 2019-02-19 |
1851855993 | Advanced Dentistry of Philadelphia | Clinic/Center | 7501 Stenton Ave, Philadelphia, PA 19150-3710 | 2019-01-23 |
1811468929 | Old City Orthodontics LLC | Clinic/Center | 14 S 3rd Street, 1st Floor, Philadelphia, PA 19106 | 2018-12-16 |
1972074250 | Center One Dental Associates PC | Clinic/Center | 9880 Bustleton Ave Ste 213, Philadelphia, PA 19115-2143 | 2018-12-11 |
1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19140 |
Please comment or provide details below to improve the information on TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.