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

University of Penn-Medical Group

Organization Dentist · NPI 1073902169

University of Penn-Medical Group is a Dentist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.

Licensed in
PA
In the registry since
2015
Specialties on file
5
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Practice location Address checks out

3400 Spruce St 2 Rhoads Pavilion
Philadelphia, PA 19104-4238
Phone: (215) 662-2737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X (PA)
Dentist Taxonomy 122300000X
General Practice Dentistry Taxonomy 1223G0001X
Oral and Maxillofacial Pathology Dentistry Taxonomy 1223P0106X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1073902169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Greco — Payer Enrollment Manager · (223) 341-8516
NPI enumeratedJanuary 13, 2015
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address3400 Spruce St, 2 Rhoads Pavilion, Philadelphia, PA 19104-4238

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