Provider Demographics
NPI:1255567897
Name:KIGER, DAVID THOMAS (DDS)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:THOMAS
Last Name:KIGER
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 1:115 WIGGINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-4619
Mailing Address - Country:US
Mailing Address - Phone:434-385-6100
Mailing Address - Fax:434-385-0252
Practice Address - Street 1:115 WIGGINGTON RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-4619
Practice Address - Country:US
Practice Address - Phone:434-385-6100
Practice Address - Fax:434-385-0252
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA3864122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist