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

Tashana Detwiler, DMD

Individual provider Public Health Dentistry · NPI 1205500147

Tashana Detwiler, DMD is a Public Health Dentistry in Concord, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
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

280 Concord Pkwy S Ste 110A
Concord, NC 28027-2704
Phone: (704) 920-1070
Fax: (704) 920-1071
Show map & directions

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

Specialties & licences

Public Health Dentistry (primary) Taxonomy 1223D0001X · Licence 12420 (NC)

Record details

NPI number1205500147
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 4, 2021
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address5008 Shadow Pine Dr, Charlotte, NC 28269-5142

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