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Dr. Robert J Diecidue, DMD,MD
Oral & Maxillofacial Surgery (D.M.D.) in Philadelphia, Pennsylvania
NPI 1225069818

Robert J Diecidue is a Oral & Maxillofacial Surgery (D.M.D.) based in Philadelphia, PA. Robert J Diecidue practices in Philadelphia, PA and has the professional credentials of DMD,MD. The NPI Number for Robert J Diecidue is 1225069818 and holds a License No. DS026243L (Pennsylvania).

The current practice location address for Robert J Diecidue is 909 Walnut St, Philadelphia, PA and can be reached out via phone at 215-955-6215 and via fax at 215-923-9189.

Location: 909 Walnut St, Philadelphia, PA, 19107-5211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225069818
Provider Name
Robert J Diecidue
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
909 Walnut St, Philadelphia, PA, 19107-5211
Phone Number
215-955-6215
Fax Number
215-923-9189
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0012768190002 05 PA
institution
Provider Business Practice Location Address Details
Address
909 Walnut St
City
Philadelphia
State
Pennsylvania
Zip
19107-5211
Phone Number
215-955-6215
Fax Number
215-923-9189
person
Provider Business Mailing Address Details
Address
909 Walnut St
City
Philadelphia
State
Pennsylvania
Zip
19107-5211
Phone Number
215-955-6215
Fax Number
215-923-9189
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
MD421272 (Pennsylvania)
Definition
The specialty of dentistry which includes 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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
DS026243L (Pennsylvania)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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