Individual
DR. DAVID B. ETTINGER
Active
Individual
DR. DAVID B. ETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
G1-0001099
DE
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
C1-0005329
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000939002
—
DE
05
—
1000033783
—
DE
01
—
268440
OPTIMUM CHOICE
—
01
—
2940
PRINCIPLE/COVENTRY
—
01
—
510214XMD
BC/BS
—
01
—
P10315
MIDATLANTIC
—
Enumeration date
07/21/2006
Last updated
09/11/2025
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