Dr. Nodari Davitiashvili is a Bronx, New York based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Nodari Davitiashvili is 010921 for General Practice Dentistry in Connecticut. His current practice location is 3902 Sedgwick Ave, Bronx. Patients can reach him at 917-495-1000.
Dr. Nodari Davitiashvili is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Nodari Davitiashvili speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Nodari Davitiashvili
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
3902 Sedgwick Ave, Bronx, New York, 10463-4460
Phone:
917-495-1000
Fax:
917-495-1000
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
NPI Number:
1417151945
NPI Enumeration Date:
11 Jun, 2007
NPI Last Update On:
10 Jun, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nodari Davitiashvili are as mentioned below.
License Number
Specialization
State
Status
010921
General Practice Dentistry
Connecticut
Primary
0483091
Dentistry
New York
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Nodari Davitiashvili such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
01975048
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3902 Sedgwick Ave, Bronx, New York
Zip:
10463-4460
Phone Number:
917-495-1000
Patients can reach Dr. Nodari Davitiashvili at 3902 Sedgwick Ave, Bronx, New York or can call to book an appointment on 917-495-1000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.