Individual provider · NPI-1
Dr. Mary Anne Checchio, DDS
Oral & Maxillofacial Surgery · Philadelphia, PA
NPI number1689634602
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1689634602
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary Anne Checchio
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery | DS-026447-L | PA | Yes |
Practice location
9525 Frankford AvePhiladelphia, PA 19114-2812
Phone 215-333-9696 · Fax 215-333-8514
Mailing address
9525 Frankford AvePhiladelphia, PA 19114-2812
Phone 215-333-9696 · Fax 215-333-8514
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