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PENN DENTAL MEDICINE
NPI 1205234382
Dentist - General Practice in Philadelphia, PA

Active since December 05, 2014
240 S 40TH ST, PHILADELPHIA, PA 19104(215) 898-4615 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Penn Dental Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENN DENTAL MEDICINE (NPI 1205234382) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since December 2014. The organization lists Alisa G Kauffman, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1205234382
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameUNIVERSITY OF PENNSYLVANIA
Location Address240 S 40TH STPhiladelphia, PA 19104-6030
Mailing Address240 S 40th StPhiladelphia, PA 19104-6030
Phone(215) 898-4615
Organization SubpartNo
Authorized OfficialAlisa G KauffmanClinical Director · (215) 746-2944
Enumeration DateDecember 5, 2014
✔ NPI 1205234382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS038838
Definition
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.
240 S 40TH ST, Philadelphia, PA 19104
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Other Names 1

Doing Business AsPenn Dental Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLY CAMILLE CAMPION
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
PATRICK MICHAEL CARMODY
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
YEN YUN LIN
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
MR. DANIEL EUNSOO KIM
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 898-8965
RACQUEL MARIA GIRO
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
MARIA KLAVDIA KRIEG
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
DR. JESSICA HILBURG D.D.S.
Dentist (General Practice)
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 898-8965
YESUL KANG
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Of Pennsylvania's NPI number?

The NPI number for University Of Pennsylvania is 1205234382. It was assigned to this organization in the NPPES registry on December 5, 2014. The provider is doing business as Penn Dental Medicine.

Where is University Of Pennsylvania located?

University Of Pennsylvania is located at 240 S 40th St, Philadelphia, PA 19104. The listed phone number is (215) 898-4615.

What is University Of Pennsylvania's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for University Of Pennsylvania was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.