Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720570377 Individual Practitioner Male Practitioner

Dr. Ethan Moskovic , DDS

Dentist • Ithaca, NY

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Moskovic, DDS is a registered healthcare professional specializing in Dentist in Ithaca, NY. Practice services are available at 324 ELMIRA RD STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

324 Elmira Rd Ste 200

Ithaca, NY 148505106

Telephone 6072733000

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Ithaca, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
22 Specialists

Practicing in Ithaca, NY (6355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2019-12-11
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 060576

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 11, 2019

Registered at 324 ELMIRA RD STE 200, ITHACA, NY 148505106 (Tel: 6072733000)

📍
Updated Business Mailing Address December 11, 2019

Registered at 73 MURIEL AVE, LAWRENCE, NY 115591810 (Tel: 5166606367)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2019

Dentist (License #060576 in NY)

NPI Profile Active May 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2018

Registered at 8900 VAN WYCK EXPY, RICHMOND HILL, NY 114182832 (Tel: 7182066000)

📍
Updated Business Mailing Address May 30, 2018

Registered at 7012 171ST ST, FRESH MEADOWS, NY 113653336 (Tel: 5166606367)

👤
Provider Name / Credentials Updated May 30, 2018

Recorded as ETHAN MOSKOVIC, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 30, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720570377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2018
Last Update: December 11, 2019
Sole Proprietor: No

Mailing Address

73 Muriel Ave

Lawrence, NY 115591810

Phone: 5166606367

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.