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

Individual provider Dentist · NPI 1417151945

Dr. Nodari Davitiashvili, DDS is a Dentist in Bronx, New York. Practices as a sole proprietor. Licensed in Connecticut and New York.

Licensed in
CT, NY
In the registry since
2007
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

3902 Sedgwick Ave
Bronx, NY 10463-4460
Phone: (917) 495-1000
Fax: (917) 495-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 010921 (CT)
Dentist Taxonomy 122300000X · Licence 0483091 (NY)

Record details

NPI number1417151945
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 11, 2007
Last updated in NPPESJune 10, 2013

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