DREXEL UNIVERSITY NPI 1700981180

NPI Information

  • NPI: 1700981180
  • Provider Name: DREXEL UNIVERSITY
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: DREXEL ORAL & MAXILLOFACIAL SURGERY
  • Address: 207 N BROAD ST
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (215) 561-0562

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NPI Details

DREXEL UNIVERSITY is an oral and maxillofacial surgery dentist in Philadelphia, PA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DREXEL UNIVERSITY NPI is 1700981180. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Drexel Oral & Maxillofacial Surgery.

The provider's business location address is:

207 N BROAD ST
PHILADELPHIA, PA
ZIP 19107-500
Phone: (215) 561-0562
Fax: (215) 561-0427

The provider's authorized official is David Janiec .
The authorized official title is Director Of Payer Contracting and has the following contact phone number (215) 255-7766.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 5/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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