Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932100161 Individual Practitioner Male Practitioner

Dr. Peter J Detolla , DDS

Dentist - General Practice • Levittown, NY

Professional Overview & Biography Verified Profile Summary

Dr. Peter Detolla, DDS is a registered healthcare professional specializing in Dentist - General Practice in Levittown, NY. Practice services are available at 58 CHURCH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

58 Church Rd

Levittown, NY 117562232

Telephone 5167351234

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Levittown, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Levittown, NY (8411 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 NY 047832-1

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1952302994

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 58 CHURCH RD, LEVITTOWN, NY 117562232 (Tel: 5167351234)

📍
Updated Business Mailing Address July 08, 2007

Registered at 105 LAUREL AVE, NORTHPORT, NY 117683169 (Tel: 6317575075)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PETER DETOLLA, DDS

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

Dentist (License #047832-1 in NY)

🟢
Initial NPI Registration & Enumeration August 10, 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: 1932100161
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

105 Laurel Ave

Northport, NY 117683169

Phone: 6317575075

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.