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

Itagegnehou Gedamu, DMD

Individual provider Dentist · NPI 1609366251

Itagegnehou Gedamu, DMD is a Dentist in Watertown, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

20991 Arsenal Street Rd # NY-3
Watertown, NY 13601-4552
Phone: (267) 259-1612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 060872 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609366251
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 18, 2018
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019

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