Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Temple University

Organization Periodontics · NPI 1720526130

Temple University is a Periodontics in Philadelphia, Pennsylvania. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017

Practice location Address checks out

3223 N Broad St Dept OF Periodontology
Philadelphia, PA 19140-5007
Phone: (215) 707-5774
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 0401414955 (VA)

Record details

NPI number1720526130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keisuke Wada — Director Chair Of Periodontology · (215) 707-7667
NPI enumeratedFebruary 6, 2017
Last updated in NPPESFebruary 6, 2017
Mailing address3223 N Broad St, Philadelphia, PA 19140-5007

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