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

Individual provider Dentist · NPI 1780977926

Dr. Lia Datikashvili, DDS is a Dentist in Bronx, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2011
Specialties on file
2
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

293 E 149th St
Bronx, NY 10451-5601
Phone: (646) 404-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 055422-1 (NY)
Dentist Taxonomy 122300000X · Licence 22DI02125000 (NJ)

Record details

NPI number1780977926
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 20, 2011
Last updated in NPPESMay 20, 2011
Mailing address293 E 149th St, Bronx, NY 10451-5601

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