Individual provider Active NPI

Donald Jetter, DMD

  • General Practice Dentistry
  • Voorhees, NJ
National Provider Identifier
1871522433
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI01587100 Issued in NJ
Practice address
1000 White Horse Rd
Suite 908
Voorhees, NJ 08043-4406
Phone
(856) 772-1400
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI01587100 NJ Primary

Addresses

Primary practice location

1000 White Horse Rd
Suite 908
Voorhees, NJ 08043-4406

Mailing address

1000 White Horse Rd Ste 908
Voorhees, NJ 08043-4415
Phone (856) 772-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20260226003453 NJ Practitioner - Dentist 8628392107 Practice locations: Voorhees, NJ

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Temple University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 White Horse Rd
Suite 908
Voorhees, NJ 08043-4415
Phone (856) 772-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI01587100NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1871522433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WHITE HORSE RD STE 908",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434415",
            "telephone_number": "856-772-1400",
            "fax_number": "856-772-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WHITE HORSE RD",
            "address_2": "SUITE 908",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434406",
            "telephone_number": "856-772-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETTER",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI01587100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.