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

Jacob Itskovich, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194350140

Jacob Itskovich, DMD is a Student in an Organized Health Care Education/Training Program in Farmington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2020.

Licensed in
CT
In the registry since
2020
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

263 Farmington Ave
Farmington, CT 06030-0001
Phone: (860) 679-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 12877 (CT)

Record details

NPI number1194350140
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 10, 2020
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020

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