Dmitriy Itskovich, DDS

Dentist · Gaithersburg, MD

Individual Active NPI

NPI number 1336327782

Practice location

481 N Frederick Ave Ste 104
Gaithersburg, MD 20877-2470
Phone
(301) 926-1407
Fax
(301) 926-9035

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NPI record

NPI
1336327782
Entity type
Individual (Type 1)
Enumeration date
February 7, 2008
Last updated
February 7, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 12967 MD

About Dr. Itskovich

Dmitriy Itskovich, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 481 N Frederick Ave Ste 104, Gaithersburg, MD 20877-2470. The NPI number 1336327782 was assigned on February 7, 2008 and the record was last updated on February 7, 2008.

Dr. Itskovich lists a license in the registry: #12967 (MD) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dmitriy Itskovich, DDS?

The NPI number is 1336327782.

What is the phone number of Dr. Itskovich?

The phone number listed for the practice location is (301) 926-1407.

Where is Dr. Itskovich located?

481 N Frederick Ave Ste 104, Gaithersburg, MD 20877-2470.

What is the taxonomy code for Dr. Itskovich?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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