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TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
NPI 1497874077
Oral & Maxillofacial Surgery in Philadelphia, PA

Active since March 28, 2007
240 S 40TH ST, PHILADELPHIA, PA 19104(215) 898-5344(215) 898-3139 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Trustees Of The University Of Pennsylvania NPPES

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

TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (NPI 1497874077) is a healthcare organization registered as an oral & maxillofacial surgery in Philadelphia, Pennsylvania and active in the NPI registry since March 2007. The organization lists Elizabeth Johnston, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1497874077
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameTRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Location Address240 S 40TH STPhiladelphia, PA 19104-6030
Mailing Address3624 Market St, Suite 560wPhiladelphia, PA 19104-2614 · (215) 662-2286
Phone(215) 898-5344
Fax(215) 898-3139
Organization SubpartNo
Authorized OfficialElizabeth JohnstonExecutive Director · (215) 662-7583
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1497874077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
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.
240 S 40TH ST, Philadelphia, PA 19104
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Other Identifiers 7

Other34461PA · Healthpartners
Medicaid1001258770PA
Other2349332000PA · Keystone
Other3537018PA · Aetna
Other30015487PA · Keystone Mercy
Other1674675PA · Blue Shield
OtherDD5746PA · Railroad Medicare

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 Trustees Of The University Of Pennsylvania's NPI number?

The NPI number for Trustees Of The University Of Pennsylvania is 1497874077. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Trustees Of The University Of Pennsylvania located?

Trustees Of The University Of Pennsylvania is located at 240 S 40th St, Philadelphia, PA 19104. The listed phone number is (215) 898-5344.

What is Trustees Of The University Of Pennsylvania's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Trustees Of The University Of Pennsylvania was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.