Active NPIIndividual provider

Dr. Phyllis H Detwiler, DMD

Dentist, General Practice in Moorestown, New Jersey

NPI Number1477556470
Practice location
110 Marter Ave, Suite 204, Moorestown, NJ 08057-3124
Fax
856-727-4039
Last updated
January 3, 2015

Phyllis Horning Detwiler is a Dentist, General Practice based in Moorestown, NJ. Phyllis Horning Detwiler practices in Moorestown, NJ and has the professional credentials of DMD. The NPI Number for Phyllis Horning Detwiler is 1477556470 and holds a License No. 22DI01130400 (NJ). The current practice location address for Phyllis Horning Detwiler is 110 Marter Ave, Suite 204, Moorestown, NJ 08057-3124 and can be reached out via phone at 856-727-6453 and via fax at 856-727-4039.

Provider Profile Details

NPI Number
1477556470
Provider Name
Phyllis Horning Detwiler
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
110 Marter Ave, Suite 204, Moorestown, NJ 08057-3124
Phone Number
856-727-6453
Fax Number
856-727-4039
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
May 23, 2005
Last Update Date
January 3, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Marter Ave
Suite 204
Moorestown, NJ 08057-3124
Zip
08057-3124
Phone Number
856-727-6453
Fax Number
856-727-4039
Moorestown, NJ 08057Get directions →

Provider Business Mailing Address Details

Address
113 N Bread St
Apartment 2B
Philadelphia, PA 19106-4610
City
Philadelphia
State
PA
Zip
19106-4610
Phone Number
732-567-6333

License Information

License Number
22DI01130400
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Phyllis H Detwiler, DMD?

The NPI number of Dr. Phyllis H Detwiler, DMD is 1477556470. It was assigned on May 23, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Phyllis H Detwiler, DMD?

Dr. Phyllis H Detwiler, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI01130400.

Where does Dr. Phyllis H Detwiler, DMD practice?

The practice location is 110 Marter Ave, Suite 204, Moorestown, NJ 08057-3124. The office can be reached at 856-727-6453 (phone) or 856-727-4039 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477556470 directly on the NPPES registry website.

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