Individual provider · Type 1 NPI

Tadele Demisse, DMD

General Practice Dentistry · Philadelphia, PA

NPI number 1942866280 Active

Practice location

6120B Woodland Ave
Philadelphia, PA 19142-3224

Call (267) 597-3600 Map

Mailing address

4700 Wissahickon Ave
Philadelphia, PA 19144-4248

Other practice locations

  • 1044 State St, Schenectady, NY 12307-1508 · (518) 370-1441
  • 850 N 11th St, Philadelphia, PA 19123-1957 · (267) 597-3600
  • 4700 Wissahickon Ave Ste 118, Philadelphia, PA 19144-4248 · (267) 597-3600

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X061697 (NY)
General Practice Dentistry Primary 1223G0001XDS043969 (PA)

General Practice Dentistry: 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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About NPI 1942866280

Tadele Demisse, DMD's National Provider Identifier is 1942866280, issued on May 13, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 28, 2023.