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

Jude Fayez Itani, BDS

Individual provider Prosthodontics · NPI 1205429974

Jude Fayez Itani, BDS is an Oral Surgery in Rochester, Minnesota. Qualified in 2019, 7 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2021

Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
Show map & directions

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

Additional practice locations (1)

  • 8305 Laurel Ct, Rowlett, TX 75089-9097 — (469) 417-9007

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence S232 (MN)

Record details

NPI number1205429974
Entity typeIndividual (Type 1)
GenderMale
Credentials BDS
Sole proprietorNo
NPI enumeratedFebruary 14, 2021
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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