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 1225426349

University of Penn-Medical Group is a Dentist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
Specialties on file
9
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Practice location Address checks out

3400 Civic Center Blvd 1-330S Perelman Ctr
Philadelphia, PA 19104-5127
Phone: (215) 662-2737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (PA)
Dentist Taxonomy 122300000X
General Practice Dentistry Taxonomy 1223G0001X
Oral and Maxillofacial Pathology Dentistry Taxonomy 1223P0106X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Dermatopathology Physician Taxonomy 207ND0900X (PA)
Hematology & Oncology Physician Taxonomy 207RH0003X (PA)
Plastic Surgery Physician Taxonomy 208200000X (PA)
Surgery Physician Taxonomy 208600000X (PA)

Record details

NPI number1225426349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Greco — Indemnity Enrollment Manager · (223) 341-8516
NPI enumeratedDecember 23, 2014
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address3400 Civic Center Blvd, 1-330s Perelman Center, Philadelphia, PA 19104-5127

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