Individual provider · NPI-1

Dr. Allen F. Champion, DDS

Oral & Maxillofacial Surgery · Philadelphia, PA

NPI number1245215508
StatusActive
Last updated in NPPESAug 23, 2019

Details

NPI
1245215508
Entity type
Individual (NPI-1)
Name
Dr. Allen F. Champion
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Dec 9, 2005
Last updated
Aug 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
204E00000X Oral & Maxillofacial SurgeryDS037106PAYes
1223S0112X Dentist, Oral and Maxillofacial SurgeryDS037106PA

Practice location

909 Walnut Street
300 Cob
Philadelphia, PA 19107-5211

Phone 215-955-6215 · Fax 215-923-9189

Mailing address

909 Walnut Street
300 Cob
Philadelphia, PA 19107-5211

Phone 215-955-6215 · Fax 215-923-9189

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Oral & Maxillofacial Surgery providers in Philadelphia, PA