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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: July 19, 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. SUSAN REGINA MALLERY DDS
Dentist (Oral and Maxillofacial Pathology)
305 W 12TH AVE, COLLEGE OF DENTISTRY OHIO STATE UNIVERSITY
COLUMBUS, OH 43210
Franklin County (614) 292-5892
DR. KATHERINE WINTER LETA VIG BDS MS
Dentist (Orthodontics and Dentofacial Orthopedics)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-5972
DAWNE ELAINE STEFANIK DDS
Dentist (General Practice)
305 W 12TH AVE, 3039-F
COLUMBUS, OH 43210
Franklin County (614) 688-4762
DR. ROBERT ROLAND SEGHI DDS, MS
Dentist (Prosthodontics)
305 W 12TH AVE, DENTAL FACULTY PRACTICE ASSOCIATION INC.
COLUMBUS, OH 43210
Franklin County (614) 292-1472
DR. STEPHEN FREDERICK ROSENSTIEL BDS, MSD
Dentist (Prosthodontics)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-0941
DR. CANISE YVETTE BEAN DMD
Dentist (General Practice)
305 W 12TH AVE, ROOM 3157
COLUMBUS, OH 43210
Franklin County (614) 688-5567
DR. NANCY L CLELLAND DMD
Dentist (Prosthodontics)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-1472
DR. DEBORAH ANN MENDEL DDS
Dentist
305 W 12TH AVE, DENTAL FACULTY PRACTICE
COLUMBUS, OH 43210
Franklin County (614) 292-7604

Frequently Asked Questions

What is Eteete Dan Udoka's NPI number?

The NPI number assigned to this healthcare provider is 1841031317, enumerated as an "individual" on June 06, 2024.

Where is the provider located?

The provider is located at 305 W 12TH AVE COLUMBUS, OH 43210 and the phone number is (614) 292-7473.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.