Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841031317 Individual Practitioner Male Practitioner

Dr. Eteete Gregory Dan Udoka , DDS

Dentist - General Practice • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Dr. Eteete Dan Udoka, DDS is a registered healthcare professional specializing in Dentist - General Practice in Columbus, OH. Practice services are available at 305 W 12TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

305 W 12th Ave

Columbus, OH 432101267

Telephone 6142927473
Fax 6142924522
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
351 Specialists

Practicing in Columbus, OH (4287 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: 2024-06-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH RES.004804

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1013151943

Doctor of Dental Surgery

Dr. Hannah Mabe , DDS

Dentist - General Practice

NPI 1144714700

Doctor of Dental Surgery

Dr. James Blackwell , DMD

Student in an Organized Health Care Education/Training Program

NPI 1164115515

Doctor of Dental Medicine

Dr. Kunning Li , DDS

Dentist - General Practice

NPI 1407692387

Doctor of Dental Surgery

NPI 1417172677

Doctor of Dental Medicine

Jaskaran Takhar , DOCTOR OF DENTAL SUR

Student in an Organized Health Care Education/Training Program

NPI 1487000980

DOCTOROFDENTALSUR

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 06, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2024

Registered at 305 W 12TH AVE, COLUMBUS, OH 432101267 (Tel: 6142927473)

📍
Updated Business Mailing Address June 06, 2024

Registered at 305 W 12TH AVE, COLUMBUS, OH 432101267 (Tel: 6142927473)

👤
Provider Name / Credentials Updated June 06, 2024

Recorded as ETEETE DAN UDOKA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2024

Dentist (License #RES.004804 in OH)

🟢
Initial NPI Registration & Enumeration June 06, 2024

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: 1841031317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2024
Last Update: June 06, 2024
Sole Proprietor: No

Mailing Address

305 W 12th Ave

Columbus, OH 432101267

Phone: 6142927473

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.