Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daizo Ishiguro, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033995279

Daizo Ishiguro, DDS is a Student in an Organized Health Care Education/Training Program in Farmington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2023.

Licensed in
CT
In the registry since
2023
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

263 Farmington Ave
Farmington, CT 06030-0001
Phone: (860) 679-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 13902 (CT)

Record details

NPI number1033995279
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 5, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

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