Provider Demographics
NPI:1164628038
Name:KONIGSBERG, SHARON (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:KONIGSBERG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 CHRISTY LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-2736
Mailing Address - Country:US
Mailing Address - Phone:973-379-4366
Mailing Address - Fax:
Practice Address - Street 1:49 CHRISTY LN
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-2736
Practice Address - Country:US
Practice Address - Phone:973-379-4366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program