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Lia Datikashvili, DDS

NPI 1780977926ActiveIndividual· Dentist· Bronx, NY

Dentist (DDS) in Bronx, New York, licensed in NY and NJ, with an NPI issued in May 2011. Enrolled in Medicare as order and referring only - dentist.

Overview

NPI1780977926
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorYes
NPI issuedMay 20, 2011
Last updated in NPPESMay 20, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X055422-1NY
Dentist122300000X22DI02125000NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Dentist (NY)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Bronx

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