Theodore N Constandelis

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11019 Issued in NJ

Legal business name

THEODORE N CONSTANDELIS

Practice address

465 Valley Rd
Clifton, NJ 07013-2234

Phone

(973) 684-1078

Fax

(973) 278-3128

NPI assigned

May 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Theodore N Constandelis, D.D.S.NPI 1295757581

Title

Owner

Phone

(973) 684-1078

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore Nicholas Constandelis, DDS

  • General Practice Dentistry
  • Clifton, NJ
  • NPI 1295757581
  NPD (past) Authorized official
• Dena Constandelis

  • General Practice Dentistry
  • Clifton, NJ
  • NPI 1265743439
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972712529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 VALLEY RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132234",
            "telephone_number": "973-684-1078",
            "fax_number": "973-278-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 VALLEY RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132234",
            "telephone_number": "973-684-1078",
            "fax_number": "973-278-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE N CONSTANDELIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONSTANDELIS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-684-1078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "11019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Theodore F Jasper M.D. P.C.
• Therapy Placement Services
• Theresa Radtke, OD LLC
• Thomas a. Graziano DPM
• Susan Samuel Thomas, PHARMD
• Carla Thompson-Stevens

• General Practice Dentistry in Clifton, NJ
• Providers in Clifton, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.