Active NPIIndividual providerSole proprietor

Dr. Theodore N Constandelis, DDS

Dentist, General Practice in Clifton, New Jersey

NPI Number1295757581
Practice location
465 Valley RD, Clifton, NJ 07013-2234
Fax
973-278-3128
Last updated
July 8, 2007

Theodore Nicholas Constandelis is a Dentist, General Practice based in Clifton, NJ. Theodore Nicholas Constandelis practices in Clifton, NJ and has the professional credentials of DDS. The NPI Number for Theodore Nicholas Constandelis is 1295757581 and holds a License No. 11019 (NJ). The current practice location address for Theodore Nicholas Constandelis is 465 Valley RD, Clifton, NJ 07013-2234 and can be reached out via phone at 973-684-1078 and via fax at 973-278-3128.

Provider Profile Details

NPI Number
1295757581
Provider Name
Theodore Nicholas Constandelis
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
465 Valley RD, Clifton, NJ 07013-2234
Phone Number
973-684-1078
Fax Number
973-278-3128
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
July 24, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
465 Valley RD
Clifton, NJ 07013-2234
Zip
07013-2234
Phone Number
973-684-1078
Fax Number
973-278-3128
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
465 Valley RD
Clifton, NJ 07013-2234
City
Clifton
State
NJ
Zip
07013-2234
Phone Number
973-684-1078
Fax Number
973-278-3128

License Information

License Number
11019
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Theodore N Constandelis, DDS?

The NPI number of Dr. Theodore N Constandelis, DDS is 1295757581. It was assigned on July 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Theodore N Constandelis, DDS?

Dr. Theodore N Constandelis, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 11019.

Where does Dr. Theodore N Constandelis, DDS practice?

The practice location is 465 Valley RD, Clifton, NJ 07013-2234. The office can be reached at 973-684-1078 (phone) or 973-278-3128 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295757581 directly on the NPPES registry website.

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