Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245547603 Individual Practitioner Male Practitioner

Dr. Derek J Conover , DMD

Dentist - General Practice • Philadelphia, PA

Professional Overview & Biography Verified Profile Summary

Dr. Derek Conover, DMD is a registered healthcare professional specializing in Dentist - General Practice in Philadelphia, PA. Practice services are available at 1601 WALNUT ST STE 1101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1601 Walnut St Ste 1101

Philadelphia, PA 191022907

Telephone 2155670521
Associated Practice Facility / Clinic
🏢 Conover Dental Care Llc Facility NPI 1457248890

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Philadelphia, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
577 Specialists

Practicing in Philadelphia, PA (4936 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: 2020-10-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License PA DS037579

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NJ DI24499

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

2 Associated Practitioners
Dr. John Leonard , DMD

Dentist - General Practice

NPI 1689044539

Doctor of Dental Medicine

Dr. Thomas Leonardo , DMD

Dentist - General Practice

NPI 1881065514

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 October 08, 2020

Registered at 1601 WALNUT ST STE 1101, PHILADELPHIA, PA 191022907 (Tel: 2155670521)

📍
Updated Business Mailing Address October 08, 2020

Registered at 1601 WALNUT ST STE 1101, PHILADELPHIA, PA 191022907 (Tel: 2155670521)

NPI Profile Active September 07, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2010

Registered at 1222 S BROAD ST, UNIT I, PHILADELPHIA, PA 191463155 (Tel: 9084611355)

📍
Updated Business Mailing Address September 07, 2010

Registered at 680 MIDDLETOWN BLVD, SUITE 201, LANGHORNE, PA 190471817 (Tel: 2157571574)

👤
Provider Name / Credentials Updated September 07, 2010

Recorded as DEREK CONOVER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2010

Dentist (License #DS037579 in PA)

🟢
Initial NPI Registration & Enumeration September 07, 2010

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: 1245547603
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2010
Last Update: October 08, 2020
Sole Proprietor: No

Mailing Address

1601 Walnut St Ste 1101

Philadelphia, PA 191022907

Phone: 2155670521

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.