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

Dr. Ethan Moskovic, DDS

Individual provider Dentist · NPI 1720570377

Dr. Ethan Moskovic, DDS is a Dentist in Ithaca, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

324 Elmira Rd Ste 200
Ithaca, NY 14850-5106
Phone: (607) 273-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 060576 (NY)

Record details

NPI number1720570377
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 30, 2018
Last updated in NPPESDecember 11, 2019
Certification dateDecember 11, 2019
Mailing address73 Muriel Ave, Lawrence, NY 11559-1810

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