DR. DAVID A ITKOFF (NPI# 1710011887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710011887 |
Entity Type | Individual |
Full Name | DR. DAVID A ITKOFF |
Credential | D.D.S. |
Practice Address |
4730 W Broad St Lincoln Village Plaza Columbus OH 43228-1613 |
Practice Telephone | 6148789292 |
Mailing Telephone | 6148789292 |
Enumeration Date | 2007-03-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
13095 | OH | Dental Providers |
Street Address |
4730 W BROAD ST LINCOLN VILLAGE PLAZA |
City | COLUMBUS |
State | OH |
Zip Code | 43228-1613 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
Find all providers in zip 43228 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275018582 | Jarrell Pediatric Dentistry, LLC | Dentist | 1538 13th Ave Ste 100, Columbus, GA 31901-1956 | 2018-10-02 |
1760863872 | Caadrian Norman | Dentist | 5770 N Hamilton Rd Ste A, Columbus, OH 43230 | 2015-06-15 |
1871971101 | Katherine Curtis Windham | Dentist | 300 Hospital Dr Ste 3, Columbus, MS 39705-1921 | 2015-05-06 |
1134495591 | Matthew Keller | Dentist | 4405 N Stadium Dr Ste B, Columbus, GA 31909-1884 | 2012-03-29 |
1518233550 | Karina Bogdasarova | Dentist | 2332 Hardesty Ct, Columbus, OH 43204-2841 | 2012-03-23 |
1245569516 | Hines Little Smiles | Dentist | 5715 N Hamilton Rd, Columbus, OH 43230-1325 | 2009-12-16 |
1770713869 | Daniel Bernard Claman | Dentist | 943 Manor Ln Apt F, Columbus, OH 43221-2444 | 2009-07-23 |
1912115056 | James Irvine Lopez | Dentist | 1834 Warm Springs Rd, Columbus, GA 31904-8029 | 2007-05-21 |
1750415444 | Carl David Bell | Dentist | 5485 W Carr Hill Rd, Columbus, IN 47201-4865 | 2007-03-15 |
1023101508 | Avneet K Sandhu | Dentist | 4655 Morse Centre Rd, Columbus, OH 43229-6601 | 2006-10-02 |
Find all providers in COLUMBUS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.