Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477556470 Individual Practitioner Female Practitioner

Dr. Phyllis Horning Detwiler , DMD

Dentist - General Practice • Moorestown, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Phyllis Detwiler, DMD is a registered healthcare professional specializing in Dentist - General Practice in Moorestown, NJ. Practice services are available at 110 MARTER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

110 Marter Ave
Suite 204

Moorestown, NJ 080573124

Telephone 8567276453
Fax 8567274039
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Moorestown, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
18 Specialists

Practicing in Moorestown, NJ (4316 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI01130400

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dental License
22DI011130400 (NJ)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Eric Schoenebeck , DMD, MS

Dentist - Periodontics

NPI 1043434707

Doctor of Dental Medicine, Master of Science

Dr. Charles Rose , DMD

Dentist - General Practice

NPI 1184765588

Doctor of Dental Medicine

Anisha Kakar

Dentist - General Practice

NPI 1316734510

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2015

Registered at 110 MARTER AVE, SUITE 204, MOORESTOWN, NJ 080573124 (Tel: 8567276453)

📍
Updated Business Mailing Address January 03, 2015

Registered at 113 N BREAD ST, APARTMENT 2B, PHILADELPHIA, PA 191064610 (Tel: 7325676333)

👤
Provider Name / Credentials Updated January 03, 2015

Recorded as PHYLLIS DETWILER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2015

Dentist (License #22DI01130400 in NJ)

🟢
Initial NPI Registration & Enumeration May 23, 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: 1477556470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2005
Last Update: January 03, 2015
Sole Proprietor: No

Mailing Address

113 N Bread St, Apartment 2b

Philadelphia, PA 191064610

Phone: 7325676333

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.