Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edward Ira Jutkowitz, MDPC

Individual provider Periodontics · NPI 1629163597

Dr. Edward Ira Jutkowitz, MDPC is a Periodontics in Roslyn Heights, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

70 Glen Cove Rd Ste 105
Roslyn Heights, NY 11577-1726
Phone: (516) 621-9393
Fax: (516) 621-9409
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 39601 (NY)

Record details

NPI number1629163597
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPC
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESJuly 8, 2007