Doctor profile · Federal record
Dr. Jennalee Dicicco, DMD
Dentist · Philadelphia, PA
- NPI 1689102030
- 9 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1500 JFK Blvd Ste 300
Philadelphia, PA 191021733
(267) 514-8100
fax (215) 701-1108 - Mailing address
-
30 Prospect Ave
Hackensack, NJ 076011915
Credentials & registration
- NPI registered
- May 2017 — 9 yrs on file
- Profile last updated
- July 18, 2025
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Pennsylvania #DS042226
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689102030. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$62
Transactions
4
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 1 | $17.89 | |
| BioHorizons Implant Systems INC. | 1 | $16.32 | |
| Philips North America LLC | 1 | $14.26 | |
| Envista Holdings Corporation | 1 | $13.15 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
33
Patients
16
Total drug cost
$126
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 22 | 16 | $80 |
| Ibuprofen | Generic | 11 | 0 | $46 |
Frequently asked questions
What is Dr. Jennalee Dicicco's medical specialty?
Dr. Jennalee Dicicco practices Dentist in Philadelphia, PA.
Where does Dr. Jennalee Dicicco practice?
Dr. Jennalee Dicicco practices at 1500 JFK Blvd Ste 300, Philadelphia, PA 191021733. Office phone: 2675148100.
What is Dr. Jennalee Dicicco's NPI?
Dr. Jennalee Dicicco's National Provider Identifier (NPI) is 1689102030, issued by NPPES.