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

Elise Dedominicis, DDS

Individual provider Dentist · NPI 1184288581

Elise Dedominicis, DDS is a Dentist in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone: (215) 456-7890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Gustave L Levy Pl, New York, NY 10029-6504 — (212) 241-6741

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Dentist Taxonomy 122300000X · Licence DS042760 (PA)

Record details

NPI number1184288581
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address2112 Webster St, Philadelphia, PA 19146-1235

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