Individual provider · Type 1 NPI

Jennalee Dicicco, DMD

Dentist · Philadelphia, PA

NPI number 1689102030 Active

Practice location

1500 Jfk Blvd Ste 300
Philadelphia, PA 19102-1733

Fax (215) 701-1108

Mailing address

30 Prospect Ave
Hackensack, NJ 07601-1915

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDS042226 (PA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1689102030

Jennalee Dicicco, DMD's National Provider Identifier is 1689102030, issued on May 30, 2017. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 18, 2025.