Tadele Demisse is a Philadelphia, Pennsylvania based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Tadele Demisse is DS043969 for General Practice Dentistry in Pennsylvania. His current practice location is 6120b Woodland Ave, Philadelphia. Patients can reach him at 267-597-3600.
Tadele Demisse is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Tadele Demisse 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.
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.
NPI Number:
1942866280
NPI Enumeration Date:
13 May, 2019
NPI Last Update On:
28 Dec, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tadele Demisse are as mentioned below.
License Number
Specialization
State
Status
DS043969
General Practice Dentistry
Pennsylvania
Primary
061697
General Practice Dentistry
New York
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Tadele Demisse such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02995513
Medicaid
New York
53099A
Other
New York
PIN
331833
Other
New York
OSCAR
10000017080506
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:
4700 Wissahickon Ave, Philadelphia, Pennsylvania
Zip:
19144-4248
Phone Number:
267-597-3600
Patients can reach Tadele Demisse at 6120b Woodland Ave, Philadelphia, Pennsylvania or can call to book an appointment on 267-597-3600. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.