Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Itskovich, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194350140

Jacob Itskovich, DMD is a Student in an Organized Health Care Education/Training Program in Farmington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2020.

Licensed in
CT
In the registry since
2020
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Farmington, CT

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 12877 (CT)

Record details

NPI number1194350140
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 10, 2020
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020

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