Wellformed AI

NPI 1477569507 · live from the CMS NPI Registry

Jackie Berkowitz, D.D.S., M.S.

Dentist, Orthodontics and Dentofacial Orthopedics in Gahanna, OH. National Provider Identifier 1477569507, active.

NPI record

NPI1477569507 Type 1 · individual
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location955 N Hamilton Rd, Gahanna, OH 43230
Practice phone614-475-9800
Mailing address164 E Gay St, Columbus, OH 43215
EnumeratedJuly 31, 2006
Last updatedSeptember 29, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400X14268 (OH)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.