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.
| Name: | Tadele Demisse |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 6120b Woodland Ave, Philadelphia,
Pennsylvania, 19142-3224 |
| Phone: | 267-597-3600 |
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.
| 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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.