Livingston Mall Dental, PA
Dentist, General Practice in Livingston, New Jersey
1972665057- Practice location
- 112 Eisenhower Pkwy, Livingston, NJ 07039-4995
- Phone
- 973-422-9399
- Fax
- 973-422-1828
- Last updated
- August 22, 2020
Livingston Mall Dental, PA is a healthcare organization based in Livingston, NJ. Livingston Mall Dental, PA practices in Livingston, NJ. The NPI Number for Livingston Mall Dental, PA is 1972665057 and holds a License No. 19779 (NJ). The current practice location address for Livingston Mall Dental, PA is 112 Eisenhower Pkwy, Livingston, NJ 07039-4995 and can be reached out via phone at 973-422-9399 and via fax at 973-422-1828.
Provider Profile Details
- NPI Number
- 1972665057
- Provider Name
- Livingston Mall Dental, PA
- Provider Entity Type
- Organization
- Address
- 112 Eisenhower Pkwy, Livingston, NJ 07039-4995
- Phone Number
- 973-422-9399
- Fax Number
- 973-422-1828
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Alexander Mikhailov, DDS · Owner · 973-422-9399
- Provider Enumeration Date
- December 14, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 112 Eisenhower Pkwy
Livingston, NJ 07039-4995 - City
- Livingston
- State
- New Jersey
- Zip
- 07039-4995
- Phone Number
- 973-422-9399
- Fax Number
- 973-422-1828
Provider Business Mailing Address Details
- Address
- 112 Eisenhower Pkwy
Livingston, NJ 07039-4995 - City
- Livingston
- State
- NJ
- Zip
- 07039-4995
License Information
- License Number
- 19779
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Livingston, NJ
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Frequently Asked Questions
What is the NPI number of Livingston Mall Dental, PA?
The NPI number of Livingston Mall Dental, PA is 1972665057. It was assigned on December 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Livingston Mall Dental, PA?
Livingston Mall Dental, PA is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 19779.
Where does Livingston Mall Dental, PA practice?
The practice location is 112 Eisenhower Pkwy, Livingston, NJ 07039-4995. The office can be reached at 973-422-9399 (phone) or 973-422-1828 (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 1972665057 directly on the NPPES registry website.