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TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY COMMUNITY DENTAL CLINIC
NPI 1649566738
Clinic/Center - Dental in Philadelphia, PA

Active since June 27, 2011
3223 N. BROAD ST., PHILADELPHIA, PA 19140(215) 707-7756(215) 707-5885 Get Directions Write a Review

NPPES record last updated: June 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Temple University Kornberg School Of Dentistry Community Dental Clinic NPPES

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

TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY COMMUNITY DENTAL CLINIC (NPI 1649566738) is a healthcare organization registered as a dental in Philadelphia, Pennsylvania and active in the NPI registry since June 2011. The organization lists Deborah Ricks, Financial Manager, as its authorized official.

NPPES Registry Identity

NPI1649566738
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY COMMUNITY DENTAL CLINIC
Location Address3223 N. BROAD ST.Philadelphia, PA 19140-5007
Mailing Address3223 N Broad StPhiladelphia, PA 19140-5007 · (215) 707-7756 · Fax (215) 707-5885
Phone(215) 707-7756
Fax(215) 707-5885
Organization SubpartYesParent: Temple University Kornberg School Of Dentistry
Authorized OfficialDeborah RicksFinancial Manager · (215) 707-7756
Enumeration DateJune 27, 2011
✔ NPI 1649566738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in PA · DS018795L
3223 N. BROAD ST., Philadelphia, PA 19140
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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 Kornberg School Of Dentistry Community Dental Clinic's NPI number?

The NPI number for Temple University Kornberg School Of Dentistry Community Dental Clinic is 1649566738. It was assigned to this organization in the NPPES registry on June 27, 2011.

Where is Temple University Kornberg School Of Dentistry Community Dental Clinic located?

Temple University Kornberg School Of Dentistry Community Dental Clinic is located at 3223 N. Broad St., Philadelphia, PA 19140. The listed phone number is (215) 707-7756.

What is Temple University Kornberg School Of Dentistry Community Dental Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Temple University Kornberg School Of Dentistry Community Dental Clinic was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.