Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Livingston Mall Dental, PA

Organization General Practice Dentistry · NPI 1972665057

Livingston Mall Dental, PA is a General Practice Dentistry in Livingston, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 Eisenhower Pkwy
Livingston, NJ 07039-4995
Phone: (973) 422-9399
Fax: (973) 422-1828
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19779 (NJ)

Record details

NPI number1972665057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Mikhailov — Owner · (973) 422-9399
NPI enumeratedDecember 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address112 Eisenhower Pkwy, Livingston, NJ 07039-4995

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