person
Tadele Demisse, DMD
General Practice Dentistry in Philadelphia, Pennsylvania
NPI 1942866280

Tadele Demisse is a General Practice Dentistry based in Philadelphia, PA and is specialized in General Practice. Tadele Demisse practices in Philadelphia, PA and has the professional credentials of DMD. The NPI Number for Tadele Demisse is 1942866280 and holds a License No. 061697 (Pennsylvania).

The current practice location address for Tadele Demisse is 6120B Woodland Ave, Philadelphia, PA and can be reached out via phone at 267-597-3600.

Location: 6120B Woodland Ave, Philadelphia, PA, 19144-4248
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Provider Profile Details
NPI Number
1942866280
Provider Name
Tadele Demisse
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
6120B Woodland Ave, Philadelphia, PA, 19144-4248
Phone Number
267-597-3600
Fax Number
Provider Enumeration Date
05/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02995513 05 NY
53099A 01 NY PIN
331833 01 NY OSCAR
10000017080506 05 PA
institution
Provider Business Practice Location Address Details
Address
6120B Woodland Ave
City
State
Zip
19142-3224
Phone Number
267-597-3600
Fax Number
person
Provider Business Mailing Address Details
Address
6120B Woodland Ave
City
State
Zip
19142-3224
Phone Number
267-597-3600
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
061697 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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