Dr. Robert J Diecidue
DMD, MD | Oral and Maxillofacial Surgeon | 37+ years Exp
909 Walnut St, 3rd Floor, Cob, Philadelphia
Pennsylvania, 19107-5211
215-955-6215 215-923-9189
Maps & DirectionsDr. Robert J Diecidue is a Philadelphia, Pennsylvania based Oral and Maxillofacial Surgeon with
37 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
Other in 1988 He is also affiliated with hospitals like
. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Robert J Diecidue is
MD421272 in Pennsylvania. His current practice location is
909 Walnut St, 3rd Floor, Cob, Philadelphia. Patients can reach him at
215-955-6215.
Dr. Robert J Diecidue deals with 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.
Complete Profile:
Dr. Robert J Diecidue speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Robert J Diecidue |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DMD, MD |
| Experience: | 37+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1988 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 909 Walnut St, 3rd Floor, Cob, Philadelphia,
Pennsylvania, 19107-5211 |
| Phone: | 215-955-6215 |
| Fax: | 215-923-9189 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7315075439 |
| Enrollment ID: | I20100511000969 |
| NPI Number: | 1225069818 |
| NPI Enumeration Date: | 05 Jul, 2006 |
| NPI Last Update On: | 23 Aug, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Robert J Diecidue are as mentioned below.
| License Number | Specialization | State | Status | |
| MD421272 | | Pennsylvania | Primary | |
| DS026243L | Oral and Maxillofacial Surgery | Pennsylvania | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (390174) | Philadelphia, PA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Robert J Diecidue is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Jefferson University Physicians (7911819180) | 1192 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Robert J Diecidue such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0012768190002 | Medicaid | Pennsylvania | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 909 Walnut St, 3rd Floor, Cob
Philadelphia, Pennsylvania |
| Zip: | 19107-5211 |
| Phone Number: | 215-955-6215 |
| Fax Number: | 215-923-9189 |
Patients can reach Dr. Robert J Diecidue at
909 Walnut St, 3rd Floor, Cob, Philadelphia, Pennsylvania or can
call to book an appointment on 215-955-6215.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.