DAIZO ISHIGURO DDS
NPI 1033995279
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since September 05, 2023
263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-2000 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Daizo Ishiguro Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAIZO ISHIGURO DDS (NPI 1033995279) is an individual student in an organized health care education/training program in Farmington, Connecticut, licensed in Connecticut (13902) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1033995279
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAIZO ISHIGUROCredential: DDS
Location Address263 FARMINGTON AVEFarmington, CT 06030-0001
Mailing Address15 Farm Springs Rd Apt 415Farmington, CT 06032-2594 · (210) 204-5708
Sole ProprietorNo
Enumeration DateSeptember 5, 2023
Last NPPES UpdateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
NPI 1033995279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CT · 13902
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

263 FARMINGTON AVE, Farmington, CT 06030

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Nurse Anesthetist, Certified Registered
263 FARMINGTON AVE
FARMINGTON, CT 06030
Psychiatry & Neurology (Neurology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine (Hematology & Oncology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Dermatology
263 FARMINGTON AVE
FARMINGTON, CT 06030
Radiology (Diagnostic Radiology)
263 FARMINGTON AVE
FARMINGTON, CT 06030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033995279, enumerated as an "individual" on September 05, 2023.

The provider is located at 263 FARMINGTON AVE FARMINGTON, CT 06030 and the phone number is (860) 679-2000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.