Periodontics And Implant Dentistry, PA
Dentist, Periodontics in Livingston, New Jersey
1376617902- Practice location
- 160 S Livingston Ave, Suite110-111, Livingston, NJ 07039-3033
- Phone
- 973-994-9995
- Fax
- 973-994-1991
- Last updated
- August 22, 2020
Periodontics And Implant Dentistry, PA is a healthcare organization based in Livingston, NJ. Periodontics And Implant Dentistry, PA practices in Livingston, NJ. The NPI Number for Periodontics And Implant Dentistry, PA is 1376617902 and holds a License No. DI10755 (NJ). The current practice location address for Periodontics And Implant Dentistry, PA is 160 S Livingston Ave, Suite110-111, Livingston, NJ 07039-3033 and can be reached out via phone at 973-994-9995 and via fax at 973-994-1991.
Provider Profile Details
- NPI Number
- 1376617902
- Provider Name
- Periodontics And Implant Dentistry, PA
- Provider Entity Type
- Organization
- Address
- 160 S Livingston Ave, Suite110-111, Livingston, NJ 07039-3033
- Phone Number
- 973-994-9995
- Fax Number
- 973-994-1991
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Organization Subpart
- No
- Authorized Official
- Dr. Barry David Wagenberg, DMD · President · 973-994-9995
- Provider Enumeration Date
- November 17, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 160 S Livingston Ave
Suite110-111
Livingston, NJ 07039-3033 - City
- Livingston
- State
- New Jersey
- Zip
- 07039-3033
- Phone Number
- 973-994-9995
- Fax Number
- 973-994-1991
Provider Business Mailing Address Details
- Address
- 160 S Livingston Ave
Suite110-111
Livingston, NJ 07039-3033 - City
- Livingston
- State
- NJ
- Zip
- 07039-3033
- Phone Number
- 973-994-9995
- Fax Number
- 973-994-1991
License Information
- License Number
- DI10755
- License State
- NJ
- Taxonomy
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Periodontics providers near Livingston, NJ
View all Dentist, Periodontics providers in Livingston →- A R Periodontics, PCDentist, Periodontics · NPI 1386776441
- Dr. Daniel B Nejat, DMDDentist, Periodontics · NPI 1558586685
- Dr. Mark A Canter, DDSDentist, Periodontics · NPI 1740356435
- Dr. Robert N Eskow, DMDDentist, Periodontics · NPI 1164553913
- Livingston Periodontal Associates, LLCDentist, Periodontics · NPI 1225247844
- Periodontic And Oral MedicineDentist, Periodontics · NPI 1194856906
Frequently Asked Questions
What is the NPI number of Periodontics And Implant Dentistry, PA?
The NPI number of Periodontics And Implant Dentistry, PA is 1376617902. It was assigned on November 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Periodontics And Implant Dentistry, PA?
Periodontics And Implant Dentistry, PA is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NJ under license number DI10755.
Where does Periodontics And Implant Dentistry, PA practice?
The practice location is 160 S Livingston Ave, Suite110-111, Livingston, NJ 07039-3033. The office can be reached at 973-994-9995 (phone) or 973-994-1991 (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 1376617902 directly on the NPPES registry website.