Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Paul Douglas Deitrick Jr., DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1851527600

Dr. Paul Douglas Deitrick Jr., DMD is an Oral Surgery in Voorhees, New Jersey. Qualified in 2007, 19 years ago. Practices with Cooper Surgical Associates, PA, a 306-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
19
Licensed in
NJ, PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

6200 Main St
Voorhees, NJ 08043-4629
Phone: (856) 325-6717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2301 E Allegheny Ave Ste 206, Philadelphia, PA 19134-4427 — (267) 367-5009

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 22DI02798900 (NJ)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DS037281 (PA)

Record details

NPI number1851527600
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 8, 2009
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesDENTIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Cooper Surgical Associates, Pa — 306 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Voorhees