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

Dr. Mark William Elice, DMD

Individual provider Dentist · NPI 1013999077

Dr. Mark William Elice, DMD is a Dentist in Philadelphia, Pennsylvania. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2005.

Licensed in
NJ, PA
In the registry since
2005
Specialties on file
2
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) 707-2890
Fax: (215) 707-5885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS043035 (PA)
Dentist Taxonomy 122300000X · Licence D15810 (NJ)

Record details

NPI number1013999077
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 16, 2005
Last updated in NPPESFebruary 24, 2023
Certification dateFebruary 24, 2023

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