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VLADISLAV KIVELIYK DMD
NPI 1215677109
Dentist - General Practice in Waterford, CT

Active since March 30, 2022
112 CROSS RD, WATERFORD, CT 06385(860) 913-4136 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vladislav Kiveliyk Dmd NPPES

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

VLADISLAV KIVELIYK DMD (NPI 1215677109) is an individual general practice provider in Waterford, Connecticut, licensed in Connecticut (13708) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1215677109
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameVLADISLAV KIVELIYKCredential: DMD
Location Address112 CROSS RDWaterford, CT 06385-1204
Mailing Address285 Queen St Unit 11jSouthington, CT 06489-1903 · (860) 913-4136
Phone(860) 913-4136
Sole ProprietorYes
Enumeration DateMarch 30, 2022
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedJune 17, 2023
✔ NPI 1215677109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 13708
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
112 CROSS RD, Waterford, CT 06385
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Other Providers at the Same Location NPPES 2

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

DR. AURORA CLARK DIBNER D.M.D
Dentist (Prosthodontics)
112 CROSS RD
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 447-1787
RESOLUTE CROSS ROAD LLC
Clinic/Center (Dental)
112 CROSS RD
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 447-1787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vladislav Kiveliyk's NPI number?

The NPI number for Vladislav Kiveliyk is 1215677109. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Vladislav Kiveliyk located?

Vladislav Kiveliyk practices at 112 Cross Rd, Waterford, CT 06385. The listed phone number is (860) 913-4136.

What is Vladislav Kiveliyk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Vladislav Kiveliyk was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.