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

Individual provider Dentist · NPI 1689102030

Jennalee Dicicco, DMD is a Dentist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
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

1500 Jfk Blvd Ste 300
Philadelphia, PA 19102-1733
Phone: (267) 514-8100
Fax: (215) 701-1108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS042226 (PA)

Record details

NPI number1689102030
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 30, 2017
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

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