TEMPLE UNIVERSITY
NPI 1619263522
Dentist - Pediatric Dentistry in Philadelphia, PA

Active since June 20, 2011CLIA 39D2158458 · Microscopy
100 E LEHIGH AVE, PHILADELPHIA, PA 19125(215) 707-1020 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Temple University NPPES

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

TEMPLE UNIVERSITY (NPI 1619263522) is a healthcare organization registered as a pediatric dentistry in Philadelphia, Pennsylvania and active in the NPI registry since June 2011. The organization holds a CLIA Microscopy certificate valid through November 28, 2026 and lists Colleen Montgomery, Residency Coordinator, as its authorized official.

NPPES Registry Identity

NPI1619263522
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTEMPLE UNIVERSITY
Location Address100 E LEHIGH AVEPhiladelphia, PA 19125-1012
Mailing Address433 Dorchester DrDelran, NJ 08075-1369 · (609) 947-3526
Organization SubpartNo
Authorized OfficialColleen MontgomeryResidency Coordinator · (215) 707-1020
Enumeration DateJune 20, 2011
Last NPPES UpdateJuly 21, 2022
NPI 1619263522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
100 E LEHIGH AVE, Philadelphia, PA 19125

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D2158458

Temple University Episcopal Internal Medicine · Philadelphia, PA
Active · expires Nov 28, 2026
CLIA Number39D2158458
Laboratory TypeIndependent
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorDr. Jennifer L. Aldrich
Laboratory Phone(215) 707-1587
Laboratory LocationTemple University Episcopal Internal Medicine100 E Lehigh Avenue, Tower 6, Philadelphia, PA 19125
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE, MAB BLDG STE 105
PHILADELPHIA, PA 19125
Dentist (Oral and Maxillofacial Surgery)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Family Medicine
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Internal Medicine
100 E LEHIGH AVE, CHC - 1
PHILADELPHIA, PA 19125
Internal Medicine (Cardiovascular Disease)
100 E LEHIGH AVE, MAB 110
PHILADELPHIA, PA 19125
Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125

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 Temple University's NPI number?

The NPI number for Temple University is 1619263522. It was assigned to this organization in the NPPES registry on June 20, 2011.

Where is Temple University located?

Temple University is located at 100 E Lehigh Ave, Philadelphia, PA 19125. The listed phone number is (215) 707-1020.

What is Temple University's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Does Temple University hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D2158458) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Temple University was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.