Provider Demographics
NPI:1497997043
Name:GANDHI, JIGAR S (DDS)
Entity Type:Individual
Prefix:DR
First Name:JIGAR
Middle Name:S
Last Name:GANDHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CORPORATE DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611
Mailing Address - Country:US
Mailing Address - Phone:203-261-2511
Mailing Address - Fax:203-445-0023
Practice Address - Street 1:2 CORPORATE DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611
Practice Address - Country:US
Practice Address - Phone:203-261-2511
Practice Address - Fax:203-445-0023
Is Sole Proprietor?:No
Enumeration Date:2009-03-28
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0105091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice