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DR. EDWARD DETOLLA DDS
NPI 1063614501
Dentist in Meredith, NH

Active since June 05, 2007PECOS Enrolled
146 ROUTE 25, MEREDITH, NH 03253(603) 279-8200(603) 279-8200 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edward Detolla Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD DETOLLA DDS (NPI 1063614501) is an individual dentist in Meredith, New Hampshire, licensed in New Hampshire (3467) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063614501
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. EDWARD DETOLLACredential: DDS
Location Address146 ROUTE 25Meredith, NH 03253
Mailing Address12 Serenity LaneMeredith, NH 03253 · (603) 279-9980 · Fax (603) 279-8200
Phone(603) 279-8200
Fax(603) 279-8200
Sole ProprietorNo
Enumeration DateJune 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063614501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NH · 3467
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
146 ROUTE 25, Meredith, NH 03253
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Northeast Delta Dental.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward Detolla Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03253 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Detolla's NPI number?

The NPI number for Edward Detolla is 1063614501. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Edward Detolla located?

Edward Detolla practices at 146 Route 25, Meredith, NH 03253. The listed phone number is (603) 279-8200.

What is Edward Detolla's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Edward Detolla enrolled in Medicare?

Yes. Edward Detolla is registered in the Medicare PECOS enrollment system.

What insurance does Edward Detolla accept?

Health plans from Northeast Delta Dental list Edward Detolla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Detolla was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.