Individual provider · Type 1 NPI

Robert J. Diecidue, DMD, MD

Oral & Maxillofacial Surgery (D.M.D.) · Philadelphia, PA

NPI number 1225069818 Active

Practice location

909 Walnut St, 3rd Floor, Cob
Philadelphia, PA 19107-5211

Call (215) 955-6215 Map

Fax (215) 923-9189

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDS026243L (PA)
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000XMD421272 (PA)

Oral & Maxillofacial Surgery (D.M.D.): 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 j…

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About NPI 1225069818

Robert J. Diecidue, DMD, MD's National Provider Identifier is 1225069818, issued on Jul 5, 2006. The primary taxonomy on file is Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 23, 2019.