- Practice location
- 100 State Str, Teaneak, NJ 07666
- Phone
- 201-837-3000
- Fax
- 201-837-0992
- Last updated
- July 8, 2007
Leonid Itskov is a Dentist based in Teaneak, NJ. Leonid Itskov practices in Teaneak, NJ and has the professional credentials of DDS. The NPI Number for Leonid Itskov is 1306921788 and holds a License No. 22DI02179000 (NJ). The current practice location address for Leonid Itskov is 100 State Str, Teaneak, NJ 07666 and can be reached out via phone at 201-837-3000 and via fax at 201-837-0992.
Provider Profile Details
- NPI Number
- 1306921788
- Provider Name
- Leonid Itskov
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 State Str, Teaneak, NJ 07666
- Phone Number
- 201-837-3000
- Fax Number
- 201-837-0992
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 26, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 State Str
Teaneak, NJ 07666 - City
- Teaneak
- State
- New Jersey
- Zip
- 07666
- Phone Number
- 201-837-3000
- Fax Number
- 201-837-0992
Provider Business Mailing Address Details
- Address
- 146 Grove Str
Bergenfield, NJ 07621 - City
- Bergenfield
- State
- NJ
- Zip
- 07621
- Phone Number
- 718-208-9646
License Information
- License Number
- 22DI02179000
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Teaneak, NJ
View all Dentists in Teaneak →Frequently Asked Questions
What is the NPI number of Leonid Itskov, DDS?
The NPI number of Leonid Itskov, DDS is 1306921788. It was assigned on October 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Leonid Itskov, DDS?
Leonid Itskov, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02179000.
Where does Leonid Itskov, DDS practice?
The practice location is 100 State Str, Teaneak, NJ 07666. The office can be reached at 201-837-3000 (phone) or 201-837-0992 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306921788 directly on the NPPES registry website.