MRS. KONSTANTINA K SARANDEVA GIESBERG


Address: 371 Graphic Blvd, New Milford, NJ 07646-2128
Phone: 6466479090

MRS. KONSTANTINA K SARANDEVA GIESBERG (NPI# 1386123172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386123172
Entity Type Individual
Full Name MRS. KONSTANTINA K SARANDEVA GIESBERG
Credential DDS
Practice Address 371 Graphic Blvd
New Milford
NJ 07646-2128
Mailing Address 245 N Main St Unit 453
New City
NY 10956-7541
Practice Telephone 6466479090
Mailing Telephone 6466479090
Enumeration Date 2018-08-13
Last Update Date 2018-08-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0004X Dentist
Specialization: Dentist Anesthesiologist
001269 NY Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
30 North Main Street, Ausable Forks, NY 12912 6466479090

Office Location

Street Address 371 GRAPHIC BLVD
City NEW MILFORD
State NJ
Zip Code 07646-2128

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1023407574 Dorothy Vanslyke Nurse Practitioner 811 B Columbia St., New Milford, NJ 07646 2015-01-21
1902190234 Denise Corcoran Speech-Language Pathologist 142 Seminole Ave, New Milford, NJ 07646 2011-06-03
1104088616 Michelle Moresca Armedilla Physical Therapist 229 Linden Place, New Milford, NJ 07646 2008-06-26
1063579647 Noam Kranz Dentist 140 Henley Ave, New Milford, NJ 07646 2007-01-02
1346308087 Zenaida P Doiranlis Internal Medicine 985 River Road, New Milford, NJ 07646 2006-12-05
1891889002 Naumov Chiropractic LLC Chiropractor 717 Princeton Str, New Milford, NJ 07646 2006-10-03
1396766101 Emelina J Goyco Pediatrics 140 Henley Avenue, New Milford, NJ 07646 2006-07-21
1386643062 800 River Road Operating Company, LLC Skilled Nursing Facility 800 River Road, New Milford, NJ 07646 2005-07-15
1285062794 Jeffrey Sedor Dentist 654 River Rd, New Milford, NJ 07646 2013-10-18
1548554876 Donna L. Corcoran Speech-Language Pathologist 142 Seminole Ave, New Milford, NJ 07646 2011-06-03
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Taxonomy Information

Taxonomy Code 1223D0004X
Grouping Dental Providers
Classification Dentist
Specialization Dentist Anesthesiologist

Taxonomy Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265882880 Gina Chen Dentist 180 Old Tappan Rd Ste 3, Old Tappan, NJ 07675-7052 2016-06-14

Competitor

Search similar providers

City NEW MILFORD
Zip Code 07646

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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