NPI 1033564315

Jefferson University Physicians

Organisation Oral & Maxillofacial Surgery (D.M.D.) Philadelphia, PA

Practice location

Address: 833 Chestnut St Suite 630, Philadelphia, PA 19107-4414
Phone: (215) 955-0800
Mailing address: PO Box 828937, Philadelphia, PA 19182-8937

Authorised official

Name: Dawn Padgett
Title: Credentialing Manager
Phone: (215) 955-1175

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Pennsylvania →

Dentist

Dental Providers Taxonomy 122300000X

Other Dentist providers in Pennsylvania →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X

Registry record

NPI: 1033564315
Entity type: Organization
NPI issued: 25 Apr 2016
Record last updated: 13 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.