Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KETEVAN KIGURADZE, DDS
ActiveKETEVAN KIGURADZE, DDS is a Pediatric Dentistry healthcare provider located in DARIEN, Connecticut. NPI 1588803407 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · DARIEN, CT
Registration Details
- NPI Number
- 1588803407
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 17, 2009 (17.515500052846 yrs)
- Last Updated
- Oct 26, 2010
- Licenses
-
009629 (CT)50 052767 (NY)009629 (CT)
Practice Information
- Address
-
106 NOROTON AVESUITE 103DARIEN, CT, 068205237Browse CT providers · Browse ZIP 06820
- Phone
- 2032027728
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Dentist
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.