JENNALEE DICICCO DMD
NPI 1689102030
Dentist in Philadelphia, PA

Q: What is Jennalee Dicicco's NPI number?

The NPI number for Jennalee Dicicco is 1689102030. It was assigned to this individual provider in the NPPES registry on May 30, 2017. The provider is also known as Jennalee Ernst.

Q: What is Jennalee Dicicco's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jennalee Dicicco was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 30, 2017

1500 JFK BLVD STE 300, PHILADELPHIA, PA 19102(267) 514-8100(215) 701-1108 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2018, May 30, 2017 (2 updates tracked since 2017).

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About Jennalee Dicicco Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNALEE DICICCO DMD (NPI 1689102030) is an individual dentist in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS042226) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1689102030

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJENNALEE DICICCOCredential: DMD

Location Address1500 JFK BLVD STE 300Philadelphia, PA 19102-1733

Mailing Address30 Prospect AveHackensack, NJ 07601-1915 · (551) 996-2000

Phone(267) 514-8100

Fax(215) 701-1108

Sole ProprietorNo

Enumeration DateMay 30, 2017

Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration

NPPES CertifiedJuly 18, 2025

✔ NPI 1689102030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in PA · DS042226

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1500 JFK BLVD STE 300, Philadelphia, PA 19102

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Other Names 1

Former Name (1)Jennalee Ernst

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennalee Dicicco's NPI number?

The NPI number for Jennalee Dicicco is 1689102030. It was assigned to this individual provider in the NPPES registry on May 30, 2017. The provider is also known as Jennalee Ernst.

Where is Jennalee Dicicco located?

Jennalee Dicicco practices at 1500 Jfk Blvd Ste 300, Philadelphia, PA 19102. The listed phone number is (267) 514-8100.

What is Jennalee Dicicco's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jennalee Dicicco accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 2 other insurers list Jennalee Dicicco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennalee Dicicco was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.