Dr. Deepak Gopala Krishnan, DDS
Oral & Maxillofacial Surgery in Cincinnati, OH. Individual provider (NPI-1).
NPI number1093974867
StatusActive
Last updated in NPPESMay 12, 2026
Details
- NPI
- 1093974867
- Entity type
- Individual (NPI-1)
- Name
- Dr. Deepak Gopala Krishnan
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2008
- Certification date
- May 12, 2026
- Last updated
- May 12, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MAXILLOFACIAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery | 30.024214 | OH | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 30.024214 | OH |
Practice location
222 Piedmont AveSte. 7300
Cincinnati, OH 45219-4231
Phone 513-475-8783 · Fax 513-475-7698
Mailing address
Po Box 630579Cincinnati, OH 45263-0579
Phone 513-585-5501 · Fax 513-585-5511
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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