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

Dr. Miro Itskovich, DDS

Individual provider Dentist · NPI 1407970882

Dr. Miro Itskovich, DDS is a Dentist in Sherman Oaks, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

5419 Nagle Ave
Sherman Oaks, CA 91401-5341
Phone: (818) 693-6096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 54541 (CA)

Record details

NPI number1407970882
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 19, 2007
Last updated in NPPESJuly 8, 2007
Mailing address5419 Nagle Ave, Sherman Oaks, CA 91401-5341

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