Temple University Kornberg School of Dentisyry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS016011L Issued in PA

Legal business name

TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISYRY

Practice address

3223 N Broad St
Philadelphia, PA 19140-5007

Phone

(215) 707-2895

NPI assigned

May 19, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Friel, DDS

Title

Clinic Leader

Phone

(215) 499-5770

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack Hollingsworth, DDS

  • Dentist
  • Philadelphia, PA
  • NPI 1336681816
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1174902530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S 10TH ST",
            "address_2": "UNIT J",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471252",
            "telephone_number": "215-629-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405007",
            "telephone_number": "215-707-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISYRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "FRIEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CLINIC LEADER",
        "authorized_official_telephone_number": "215-499-5770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS016011L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temple University Hospital, Inc
• Temple University Hospital, Inc
• Temple University Hospital, Inc
• Temple University Hospital, Inc - Psych Unit
• Temple University Kornberg School of Dentistry Community Dental Clinic
• Temple University of the Commonwealth of Higher Education
• Temple University of the Commonwealth of Higher Education
• Temple University of the Commonwealth of Higher Education
• Temple University of the Commonwealth of Higher Education
• Temple University of the Commonwealth System of Higher Education

• Dental Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.