Individual
DR. PHYLLIS HORNING DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
110 MARTER AVE, SUITE 204, MOORESTOWN, NJ 08057-3124
(856) 727-6453
(856) 727-4039
Mailing address
113 N BREAD ST, APARTMENT 2B, PHILADELPHIA, PA 19106-4610
(732) 567-6333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01130400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI011130400
DENTAL LICENSE
NJ
Enumeration date
05/23/2005
Last updated
01/03/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us