Provider Demographics
NPI:1447452693
Name:GIEGER, TARA ANN (RDH)
Entity type:Individual
Prefix:MRS
First Name:TARA
Middle Name:ANN
Last Name:GIEGER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 PLYMOUTH PL
Mailing Address - Street 2:
Mailing Address - City:ROSELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07068-1309
Mailing Address - Country:US
Mailing Address - Phone:973-228-2023
Mailing Address - Fax:
Practice Address - Street 1:140 RIVER ROAD
Practice Address - Street 2:SUITE J-2
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045
Practice Address - Country:US
Practice Address - Phone:973-334-5556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22HI00532700124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist