Robert Diecidue, DMD, MD

Individual Active
NPI 1225069818
Oral & Maxillofacial Surgery (D.M.D.) Philadelphia, PA

NPI 1225069818 belongs to Robert Diecidue, DMD, MD, an oral & maxillofacial surgery (d.m.d.) with a practice location in Philadelphia, PA. The NPI was issued on July 5, 2006, and the record was last updated in NPPES on August 23, 2019. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000X MD421272 (PA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS026243L (PA)

Practice location

909 Walnut St
3rd Floor, Cob
Philadelphia, PA 19107-5211
Phone: (215) 955-6215

Local context

Active NPPES records list 62 providers with oral & maxillofacial surgery (d.m.d.) as the primary taxonomy within 25 miles of this practice location's ZIP code, 32 of them within 10 miles.

The same primary taxonomy is listed by 111 in Pennsylvania and 2,081 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Robert J Diecidue
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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