Temple University Kornberg School Of Dentistry

LBN: Temple University Kornberg School Of Dentistry
Temple University Kornberg School Of Dentistry is an health care organization with primary practice located at 3223 N Broad St , Philadelphia PA 19140-5007. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Temple University Kornberg School Of Dentistry can be contacted via phone (215) 707-7756, or through Fagan, Angelina via phone (215) 707-2828.

Contact Information

Primary practice address
3223 N Broad St Philadelphia PA 19140-5007
Phone: (215) 707-7756
Fax: (215) 707-5885
Website:
Map and Directions
Authorized official contact:
Name: Fagan, Angelina
Phone: (215) 707-2828

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1841268604
LBN Legal business name Temple University Kornberg School Of Dentistry
DBA Doing business as
Authorized official Fagan, Angelina
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 9th, 2006
Last updated Feb 5th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841268604 NPPES
Pennsylvania MEDICAID 1007780130612

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