Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Fathi Elgaddari, DMD

Individual provider Periodontics · NPI 1558720094

Dr. Fathi Elgaddari, DMD is a Periodontics in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3223 N Broad St
Philadelphia, PA 19140-5007
Phone: (215) 707-1014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 061942 (NY)

Record details

NPI number1558720094
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedFebruary 11, 2016
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

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