DR. PHYLLIS HORNING DETWILER (NPI# 1477556470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477556470 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS HORNING DETWILER |
| Credential | DMD |
| Practice Address |
110 Marter Ave Suite 204 Moorestown NJ 08057-3124 |
| Mailing Address |
113 N Bread St Apartment 2b Philadelphia PA 19106-4610 |
| Practice Telephone | 8567276453 |
| Practice Fax Number | 8567274039 |
| Mailing Telephone | 7325676333 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2015-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI01130400 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | DENTAL LICENSE | 22DI011130400 | 01 |
| Street Address |
110 MARTER AVE SUITE 204 |
| City | MOORESTOWN |
| State | NJ |
| Zip Code | 08057-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801335294 | Wendy Preihs | Counselor | 110 Marter Ave, Suite 201, Moorestown, NJ 08057-3124 | 2017-02-17 |
| 1215470174 | Delaware Valley Psychological Services, LLC. | Psychologist | 110 Marter Ave, Suite 201, Moorestown, NJ 08057-3124 | 2016-11-28 |
| 1093062002 | Daniel Schaeffler | Dentist | 110 Marter Ave, Suite 204, Moorestown, NJ 08057-3124 | 2012-08-08 |
| 1689933350 | Steven Horvitz, D.o., Family Medicine, P.C. | Family Medicine | 110 Marter Ave, Suite 408, Moorestown, NJ 08057-3124 | 2012-05-15 |
| 1508123886 | Kathleen Ann Milano | Psychologist | 110 Marter Ave, Suite 206, Moorestown, NJ 08057-3124 | 2012-04-11 |
| 1710291307 | Wai Ben Chan | Family Medicine | 110 Marter Ave, Moorestown, NJ 08057-3124 | 2010-08-06 |
| 1588985188 | Monique Kamaria Chheda | Dermatology | 110 Marter Ave, Suite 102, Moorestown, NJ 08057-3124 | 2010-06-17 |
| 1912237793 | Moorestown Dental Associates, LLC | Dentist | 110 Marter Ave, Suite 204, Moorestown, NJ 08057-3124 | 2009-12-30 |
| 1225212970 | Cynthia Biddle Coyne | Physical Therapist | 110 Marter Ave, Building 500, Suite 504, Moorestown, NJ 08057-3124 | 2007-12-18 |
| 1134316730 | Cheryl C. Pride I | Social Worker | 110 Marter Ave, Suite 406, Moorestown, NJ 08057-3124 | 2007-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209074 | Raquel Maria Screnci | Physical Therapy Assistant | Powerback, 212 Marter Avenue, Moorestown, NJ 08057 | 2020-03-06 |
| 1801363544 | Acts Signature Community Services, Inc. | Internal Medicine | 309 Bridgeboro Road, Moorestown, NJ 08057 | 2018-10-31 |
| 1427547447 | Bpt Physical Therapy LLC | Clinic/Center | 341 New Albany Rd Ste 120, Moorestown, NJ 08057 | 2018-05-04 |
| 1912416363 | Gold Bear Shuttle | Bus | 300 Mill Street, Moorestown, NJ 08057 | 2017-09-28 |
| 1811422595 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 67 Janeway Ave, Delran, NJ 08057 | 2017-05-01 |
| 1972050789 | Therapeutic Alternatives | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 236 West Route 38, Suite 210, Moorestown, NJ 08057 | 2016-09-09 |
| 1740653088 | Cathleen Wright | Acupuncturist | 505 South Lenola Road, Suite 121, Moorestown, NJ 08057 | 2015-11-09 |
| 1720469521 | Alexander's Vision Community Services, LLC | Supports Brokerage | 118 Oakmont Drive, Moorestown, NJ 08057 | 2015-06-17 |
| 1588045835 | Delta Community Supports, Inc. | Day Training, Developmentally Disabled Services | 740a Bellevue Ave, Hammonton, NJ 08057 | 2015-06-12 |
| 1164818134 | Rebecca Lynn Martz | Family Medicine | 740 Marne Hwy Ste 206, Moorestown, NJ 08057 | 2015-04-07 |
| Find all providers in zip 08057 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124347216 | Amar B Patel | Dentist | 229 Demarest Rd, Moorestown, NJ 08057-1303 | 2010-05-27 |
| 1801961495 | Frank Lammerding Dmd,pa | Dentist | 301 Dawson St, Moorestown, NJ 08057-2420 | 2006-11-21 |
| 1821017609 | Joseph A Perrone | Dentist | 800 N Church St, Suite 101, Moorestown, NJ 08057-1744 | 2006-07-19 |
| 1679522502 | Ghina C Maliha | Dentist | 302 N Washington Ave, Suite 102 W, Moorestown, NJ 08057-2448 | 2006-05-08 |
| 1760449805 | Charles M. Esposito | Dentist | 220 Schooley St, Moorestown, NJ 08057-2957 | 2006-05-01 |
| 1902895147 | Mark S Walker | Dentist | 285 S Church St, Suite 8, Moorestown, NJ 08057-2773 | 2005-10-20 |
| 1316574825 | South Jersey Dental Care | Dentist | 212 W Route 38, Suite 500, Moorestown, NJ 08057 | 2020-03-25 |
| 1386187714 | Moorestown Smile Center | Dentist | 740 Marne Hwy, Suit 106, Moorestown, NJ 08057-3126 | 2016-12-03 |
| 1700202462 | Dental Associates of Moorestown | Dentist | 285 S Church St, Moorestown, NJ 08057-2773 | 2014-03-05 |
| 1134486202 | Theodore F Zerbe | Dentist | 701 E Main St, Moorestown, NJ 08057-3032 | 2012-04-13 |
| Find all providers in MOORESTOWN | ||||
| City | MOORESTOWN |
| Zip Code | 08057 |
Please comment or provide details below to improve the information on DR. PHYLLIS HORNING DETWILER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.