Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Temple University Kornberg School of Dentistry Community Dental Clinic

Organization Dental Clinic/Center · NPI 1649566738

Temple University Kornberg School of Dentistry Community Dental Clinic is a Dental Clinic/Center in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011
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Practice location Address checks out

3223 N Broad St
Philadelphia, PA 19140-5007
Phone: (215) 707-7756
Fax: (215) 707-5885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence DS018795L (PA)

Record details

NPI number1649566738
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTemple University Kornberg School of Dentistry
Authorized official Deborah Ricks — Financial Manager · (215) 707-7756
NPI enumeratedJune 27, 2011
Last updated in NPPESJune 27, 2011
Mailing address3223 N Broad St, Philadelphia, PA 19140-5007

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