Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROBERT J DIECIDUE, DMD, MD

Active

DR. ROBERT J DIECIDUE, DMD, MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1225069818 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · PHILADELPHIA, PA

Registration Details

NPI Number: 1225069818
Provider Type: Individual
Gender: Male
NPI Issued: Jul 5, 2006 (20.067374713192 yrs)
Last Updated: Aug 23, 2019
Licenses: DS026243L (PA)

MD421272 (PA)

Practice Information

Address: 909 WALNUT ST

3RD FLOOR, COB

PHILADELPHIA, PA, 191075211
Browse PA providers · Browse ZIP 19107
Phone: 2159556215
Fax: 2159239189
Primary Specialty: Oral & Maxillofacial Surgery (Physician)
204E00000X
Additional Specialty: Oral & Maxillofacial Surgery (Physician)

Other Oral & Maxillofacial Surgery (Physician) Providers in PHILADELPHIA, PA

Name	Credential	NPI
DR. ALLEN F. CHAMPION	DDS	1245215508
GERARD T. DOWD	DDS	1598724288
DR. MARY ANNE CHECCHIO	DDS	1689634602
NABIL A ABAZA	DMD	1497700272
ERIC T STOOPLER	DMD	1982649356
DR. DANIEL IAN TAUB	DDS, MD	1609811066

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.