Terry B Philibin, D.D.S., M.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30-01-9443 Issued in OH

Practice address

405 Niles Cortland Rd SE
Suite #101
Warren, OH 44484-2460

Phone

(330) 856-7111

Fax

(330) 856-7007

NPI assigned

May 19, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033163886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NILES CORTLAND RD SE",
            "address_2": "SUITE #101",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842460",
            "telephone_number": "330-856-7111",
            "fax_number": "330-856-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NILES CORTLAND RD SE",
            "address_2": "SUITE #101",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842460",
            "telephone_number": "330-856-7111",
            "fax_number": "330-856-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIBIN",
        "first_name": "TERRY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30-01-9443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Peterson
• Amber Peterson, CDCA
• Angela Maris Pettenati, MD
• Emily Pettitt
• Raven Simone Pew, RN
• Phillip Maiden M.D.
• Phillips Healthcare LLC (Nightingale Care)
• Ajjiaree Nekeyia Phillips, NP
• Charles Phillips
• Cherin Phillips

• Oral and Maxillofacial Surgery (Dentist) in Warren, OH
• Providers in Warren, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.