Ketevan Kiguradze, DDS
Dentist, Pediatric Dentistry in Darien, Connecticut
1588803407- Practice location
- 106 Noroton Ave, Suite 103, Darien, CT 06820-5237
- Phone
- 203-202-7728
- Fax
- —
- Last updated
- October 26, 2010
Ketevan Kiguradze is a Dentist, Pediatric Dentistry based in Darien, CT. Ketevan Kiguradze practices in Darien, CT and has the professional credentials of DDS. The NPI Number for Ketevan Kiguradze is 1588803407 and holds a License No. 009629 (CT). The current practice location address for Ketevan Kiguradze is 106 Noroton Ave, Suite 103, Darien, CT 06820-5237 and can be reached out via phone at 203-202-7728.
Provider Profile Details
- NPI Number
- 1588803407
- Provider Name
- Ketevan Kiguradze
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 106 Noroton Ave, Suite 103, Darien, CT 06820-5237
- Phone Number
- 203-202-7728
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 17, 2009
- Last Update Date
- October 26, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 106 Noroton Ave
Suite 103
Darien, CT 06820-5237 - City
- Darien
- State
- Connecticut
- Zip
- 06820-5237
- Phone Number
- 203-202-7728
Provider Business Mailing Address Details
- Address
- 106 Noroton Ave
Suite 103
Darien, CT 06820-5237 - City
- Darien
- State
- CT
- Zip
- 06820-5237
- Phone Number
- 203-202-7728
License Information
- License Number (1)
- 009629
- License State (1)
- CT
- Taxonomy (1)
- Dentist · 122300000X
- License Number (2)
- 50 052767
- License State (2)
- NY
- Taxonomy (2)
- Dentist · 122300000X
- License Number (3)
- 009629
- License State (3)
- CT
- Taxonomy (3)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ketevan Kiguradze, DDS?
The NPI number of Ketevan Kiguradze, DDS is 1588803407. It was assigned on February 17, 2009 and is currently active in the NPPES registry.
What is the specialty of Ketevan Kiguradze, DDS?
Ketevan Kiguradze, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 009629.
Where does Ketevan Kiguradze, DDS practice?
The practice location is 106 Noroton Ave, Suite 103, Darien, CT 06820-5237. The office can be reached at 203-202-7728 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588803407 directly on the NPPES registry website.