DR. MARY ANNE CHECCHIO DDS NPI 1689634602

NPI Information

  • NPI: 1689634602
  • Provider Name: DR. MARY ANNE CHECCHIO, DDS
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9525 FRANKFORD AVE
    PHILADELPHIA, PA
    ZIP 19114
  • Phone: (215) 333-9696

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NPI Details

DR. Mary Anne Checchio, DDS is an oral maxillofacial surgery in Philadelphia, PA with 38 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Mary Anne Checchio, DDS NPI is 1689634602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
Graduation Year:1988

The provider's business location address is:

9525 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19114-812
Phone: (215) 333-9696
Fax: (215) 333-8514

The NPI 1689634602 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Simple drainage of abscess, cyst, or blood accumulation of mouth (HCPCS:40800)
  • Removal of growth or cyst of lower jaw bone (HCPCS:21040)
  • Removal of growth or cyst of jaw or upper cheek (HCPCS:21030)

The enumeration date for this NPI number is 3/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryDS-026447-LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AETNAOTHERPENNSYLVANIAAETNA US HEALTHCARE
20811240000OTHERPENNSYLVANIAKEYSTONE/PERSONAL CHOICE
3U57286MEDICARE UPINPENNSYLVANIA
4CH786112MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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