Nishant Lakhani
Individual provider Active NPI General Practice Dentistry · Waterbury, CT
NPI 1124814868 · NPPES record last updated May 30, 2025
Key facts
- NPI
- 1124814868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 14397 (CT)
- Practice address
- 188 Chase Ave
Waterbury, CT 06704-2245 - Phone
- (203) 754-3818
- NPI assigned
- Apr 18, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14397 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Carol Dermesropian PLLC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 14397 | CT | Yes |
Addresses
Primary practice location
188 Chase Ave
Waterbury, CT 06704-2245
Mailing address
310 W Michigan St Apt 238
Indianapolis, IN 46202-3231
Phone (845) 655-9669
Other providers in Waterbury, CT
- Amanda Lafleur
- Susan Lagassie
- Erin Lage
- Dennis A. Laird
- Anairis Lajara
- Catarina Lally
- Stephanie Ann Lamacchia-Cruz
- Albana Vedat Lame
- Ina Lami
- Melissa Lamy
All providers in Waterbury, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.