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

Tadele Demisse, DMD

Individual provider General Practice Dentistry · NPI 1942866280

Tadele Demisse, DMD is a General Practice Dentistry in Philadelphia, Pennsylvania. Works from 4 locations. Licensed in New York and Pennsylvania.

Licensed in
NY, PA
In the registry since
2019
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

6120B Woodland Ave
Philadelphia, PA 19142-3224
Phone: (267) 597-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1044 State St, Schenectady, NY 12307-1508 — (518) 370-1441
  • 850 N 11th St, Philadelphia, PA 19123-1957 — (267) 597-3600
  • 4700 Wissahickon Ave Ste 118, Philadelphia, PA 19144-4248 — (267) 597-3600

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS043969 (PA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 061697 (NY)

Record details

NPI number1942866280
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 13, 2019
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023
Mailing address4700 Wissahickon Ave, Philadelphia, PA 19144-4248

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