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ITAGEGNEHOU GEDAMU DMD
NPI 1609366251
Dentist in Watertown, NY

Active since May 18, 2018
20991 ARSENAL STREET RD # NY-3, WATERTOWN, NY 13601(267) 259-1612 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2019, Dec 9, 2019, May 18, 2018 (3 updates tracked since 2018).

About Itagegnehou Gedamu Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ITAGEGNEHOU GEDAMU DMD (NPI 1609366251) is an individual dentist in Watertown, New York, licensed in New York (060872) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1609366251
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameITAGEGNEHOU GEDAMUCredential: DMD
Location Address20991 ARSENAL STREET RD # NY-3Watertown, NY 13601-4552
Mailing Address207 Wealtha Ave Apt 614cWatertown, NY 13601-5801
Phone(267) 259-1612
Sole ProprietorNo
Enumeration DateMay 18, 2018
Last NPPES UpdateDecember 16, 20193 updates tracked since enumeration
✔ NPI 1609366251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 060872
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
20991 ARSENAL STREET RD # NY-3, Watertown, NY 13601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Itagegnehou Gedamu's NPI number?

The NPI number for Itagegnehou Gedamu is 1609366251. It was assigned to this individual provider in the NPPES registry on May 18, 2018.

Where is Itagegnehou Gedamu located?

Itagegnehou Gedamu practices at 20991 Arsenal Street Rd # Ny-3, Watertown, NY 13601. The listed phone number is (267) 259-1612.

What is Itagegnehou Gedamu's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Itagegnehou Gedamu accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Itagegnehou Gedamu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Itagegnehou Gedamu was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.