MEDICARE: DR. KENNETH R. SIVA D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	36722	NY

General Provider Information

NPI Number	:	1023013919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH R. SIVA D.D.S.

Provider Business Mailing Address
First Line	:	5847 FRANCIS LEWIS BLVD
Second Line	:	STE 104
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-1601
Country	:	US
Telephone Number	:	718-428-2626
Fax Number	:	718-631-9426

Provider Business Practice Location Address
First Line	:	5847 FRANCIS LEWIS BLVD
Second Line	:	STE 104
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-1601
Country	:	US
Telephone Number	:	718-428-2626
Fax Number	:	718-631-9426

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1871596262 — DR. BARRY JAY ROSEN DPM
Practice Location Address:

5847 FRANCIS LEWIS BLVD , STE 11
OAKLAND GARDENS, NY
11364-1601

Practice Phone: 718-225-2424
Practice Fax: 718-225-2425

1215926084 — DR. FARID HAKIMZADEH DDS
Practice Location Address:

5847 FRANCIS LEWIS BLVD
OAKLAND GARDENS, NY
11364-1601

Practice Phone: 718-224-7272
Practice Fax: 718-224-3841

1841215746 — DR. MYLES MITTLEMAN M.D.
Practice Location Address:

5847 FRANCIS LEWIS BLVD
OAKLAND GARDENS, NY
11364-1601

Practice Phone: 718-225-5400
Practice Fax: 718-225-6527

1356457394 — KENNETH R. SIVA, D.D.S., P.C.
Practice Location Address:

5847 FRANCIS LEWIS BLVD , SUITE 104
OAKLAND GARDENS, NY
11364-1601

Practice Phone: 718-428-2626
Practice Fax: 718-631-9426

1811173297 — NICOLA ROSELLI
Practice Location Address:

5847 FRANCIS LEWIS BLVD STE 200
OAKLAND GARDENS, NY
11364-1601

Practice Phone: 718-454-0842
Practice Fax: 718-454-1704

1851558878 — NICOLA ROSELLI
Practice Location Address:

5847 FRANCIS LEWIS BLVD STE 200
OAKLAND GARDENS, NY
11364-1601

Practice Phone: 718-454-0842
Practice Fax: 718-454-1704

Directions to “ DR. KENNETH R. SIVA D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.