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

Periodontics and Implant Dentistry, PA

Organization Periodontics · NPI 1376617902

Periodontics and Implant Dentistry, PA is a Periodontics 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.

See every abbreviation used in this directory →

Practice location Address checks out

160 S Livingston Ave SUITE110-111
Livingston, NJ 07039-3033
Phone: (973) 994-9995
Fax: (973) 994-1991
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DI10755 (NJ)

Record details

NPI number1376617902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barry Wagenberg — President · (973) 994-9995
NPI enumeratedNovember 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing address160 S Livingston Ave, Suite110-111, Livingston, NJ 07039-3033

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