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Search › Pennsylvania › 1223G0001X

Tadele Demisse, DMD

NPI 1942866280 · on the registry since 2019

Practice

Address
6120b Woodland Ave
Philadelphia, PA 19142
Phone
(267) 597-3600
Clinicians at this address
4

Additional practice sites

  • 1044 State St, Schenectady, NY
  • 4700 Wissahickon Ave Ste 118, Philadelphia, PA
  • 850 N 11th St, Philadelphia, PA

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223G0001X
Licence states on file
NY, PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania