| Livingston Periodontal Associates, Llc | |
|
340 E Northfield Rd Suite #2a Livingston NJ 07039-4892 | |
| (973) 992-8600 | |
| (973) 992-8626 |
| Full Name | Livingston Periodontal Associates, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 340 E Northfield Rd, Livingston, New Jersey |
| Authorized Official Name and Position | Eric Weiss (OWNER) |
| Authorized Official Contact | 9739928600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livingston Periodontal Associates, Llc 340 E Northfield Rd Suite #2a Livingston NJ 07039-4892 Ph: (973) 992-8600 | Livingston Periodontal Associates, Llc 340 E Northfield Rd Suite #2a Livingston NJ 07039-4892 Ph: (973) 992-8600 |
| NPI Number | 1225247844 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225247844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22DI01807200 (New Jersey) | Primary |
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› Verified 2 days ago
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