Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013999077 Individual Practitioner Male Practitioner

Dr. Mark William Elice , DMD

Dentist • Philadelphia, PA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Mark Elice, DMD is a registered healthcare professional specializing in Dentist in Philadelphia, PA. Official NPI practice address is registered at 3223 N BROAD ST.

Practice Location & Contact Primary Location

Practice Address

3223 N Broad St

Philadelphia, PA 191405007

Telephone 2157072890
Fax 2157075885
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Philadelphia, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
560 Specialists

Practicing in Philadelphia, PA (3554 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-24
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License PA DS043035

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License NJ D15810

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1205093481

Doctor of Philosophy (Ph.D.), Doctor of Dental Surgery

Dr. Jin Park , DMD

Dentist - General Practice

NPI 1265657027

Doctor of Dental Medicine

Dr. Michael Mendlow , DDS

Dentist - General Practice

NPI 1548363054

Doctor of Dental Surgery

Dr. Mehran Hossainizadeh , DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1699732602

Doctor of Dental Medicine

Dr. Oqba Memar , DMD

Dentist - General Practice

NPI 1760815328

Doctor of Dental Medicine

NPI 1861536146

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 24, 2023

Registered at 3223 N BROAD ST, PHILADELPHIA, PA 191405007 (Tel: 2157072890)

📍
Updated Business Mailing Address February 24, 2023

Registered at 3223 N BROAD ST, PHILADELPHIA, PA 191405007 (Tel: 2157072890)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 226 MIDDLE RD, HAZLET, NJ 077301945 (Tel: 7322647615)

📍
Updated Business Mailing Address July 08, 2007

Registered at 226 MIDDLE RD, HAZLET, NJ 077301945 (Tel: 7322647615)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK ELICE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D15810 in NJ)

🟢
Initial NPI Registration & Enumeration November 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013999077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2005
Last Update: February 24, 2023
Sole Proprietor: No

Mailing Address

3223 N Broad St

Philadelphia, PA 191405007

Phone: 2157072890

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.