IndividualActive
David Ettinger, MD
NPI 1619976453 · Plastic Surgery Physician · Beavercreek, OH
Provider details
- NPI number
- 1619976453
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35064602 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3359 Kemp Rd
Ste. 200
Beavercreek, OH 45431-2565
Phone: (937) 429-7307
Fax: (937) 429-7320
Approximate (ZIP-level) locationGet directions
Mailing address
3359 Kemp Rd
Beavercreek, OH 45431-2565
Registry dates
- Enumerated
- 2005-07-14
- Last updated
- 2022-04-06
- Certified
- 2022-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.