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ETEETE GREGORY DAN UDOKA DDS
NPI 1841031317
Dentist - General Practice in Columbus, OH

Active since June 06, 2024PECOS Enrolled
305 W 12TH AVE, COLUMBUS, OH 43210(614) 292-7473(614) 292-4522 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Eteete Gregory Dan Udoka Dds NPPES

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

ETEETE GREGORY DAN UDOKA DDS (NPI 1841031317) is an individual general practice provider in Columbus, Ohio, licensed in Ohio (RES.004804) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841031317
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameETEETE GREGORY DAN UDOKACredential: DDS
Location Address305 W 12TH AVEColumbus, OH 43210-1267
Mailing Address305 W 12th AveColumbus, OH 43210-1267 · (614) 292-7473
Phone(614) 292-7473
Fax(614) 292-4522
Sole ProprietorNo
Enumeration DateJune 6, 2024
NPPES CertifiedJune 6, 2024
✔ NPI 1841031317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OH · RES.004804
Definition
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.
305 W 12TH AVE, Columbus, OH 43210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eteete Gregory Dan Udoka Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMOTHY GARTH WEAVER D.D.S.
Dentist
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-7473
MITCHELL THAI
Dentist (General Practice)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-4468
DIANA MAHMOODI DMD
Dentist (Prosthodontics)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (703) 608-6431
DR. ELMER JAY NEWNESS D.D.S.
Dentist
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-3015
DANIEL STENTZ D.D.S.
Dentist
305 W 12TH AVE, ROOM 3059C POSTLE HALL
COLUMBUS, OH 43210
Franklin County (614) 292-3596
JENNIFER BURZYNSKI DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
305 W 12TH AVE, OSU DEPARTMENT OF ORTHODONTICS
COLUMBUS, OH 43210
Franklin County (614) 292-9100
DR. SOORYA SRINIVASAN D.M.D
Dentist (Orthodontics and Dentofacial Orthopedics)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 688-4047
DR. BRYCE WOOLSEY DDS
Dentist
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-2622

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 Eteete Dan Udoka's NPI number?

The NPI number for Eteete Dan Udoka is 1841031317. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Where is Eteete Dan Udoka located?

Eteete Dan Udoka practices at 305 W 12th Ave, Columbus, OH 43210. The listed phone number is (614) 292-7473.

What is Eteete Dan Udoka's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Eteete Dan Udoka enrolled in Medicare?

Yes. Eteete Dan Udoka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eteete Dan Udoka was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.