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PERIODONTICS AND IMPLANT DENTISTRY, PA
NPI 1376617902
Dentist - Periodontics in Livingston, NJ

Active since November 17, 2006
160 S LIVINGSTON AVE, SUITE110-111, LIVINGSTON, NJ 07039(973) 994-9995(973) 994-1991 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Periodontics And Implant Dentistry, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERIODONTICS AND IMPLANT DENTISTRY, PA (NPI 1376617902) is a healthcare organization registered as a periodontics in Livingston, New Jersey and active in the NPI registry since November 2006. The organization lists Barry David Wagenberg, President, as its authorized official.

NPPES Registry Identity

NPI1376617902
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTICS AND IMPLANT DENTISTRY, PA
Location Address160 S LIVINGSTON AVE, SUITE110-111Livingston, NJ 07039-3033
Mailing Address160 S Livingston Ave, Suite110-111Livingston, NJ 07039-3033 · (973) 994-9995 · Fax (973) 994-1991
Phone(973) 994-9995
Fax(973) 994-1991
Organization SubpartNo
Authorized OfficialBarry David WagenbergPresident · (973) 994-9995
Enumeration DateNovember 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376617902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NJ · DI10755
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
160 S LIVINGSTON AVE, Livingston, NJ 07039
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY PHYLLIS ROTHCHILD MSSW
Social Worker (Clinical)
160 S LIVINGSTON AVE, SUITE 113
LIVINGSTON, NJ 07039
Essex County (973) 763-1315
DR. BARRY DAVID WAGENBERG DMD
Dentist (Periodontics)
160 S LIVINGSTON AVE, SUITE 110-111
LIVINGSTON, NJ 07039
Essex County (973) 994-9995
DR. ALFREDO JOAQUIN LOWE PH.D.
Psychologist (Clinical)
160 S LIVINGSTON AVE, SUITE 113
LIVINGSTON, NJ 07039
Essex County (973) 885-1891
YANNICK ZEBAZE NP
Nurse Practitioner (Psychiatric/Mental Health)
160 S LIVINGSTON AVE
LIVINGSTON, NJ 07039
Essex County (862) 456-8831
PSYCHOTHERAPEUTIC SOLUTIONS, LLC
Psychologist (Clinical)
160 S LIVINGSTON AVE, 113
LIVINGSTON, NJ 07039
Essex County (973) 885-1891
GLADYS I HIRSCHORN PHD
Psychologist
160 S LIVINGSTON AVE, SUITE 113
LIVINGSTON, NJ 07039
Essex County (973) 740-9440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Periodontics And Implant Dentistry, PA's NPI number?

The NPI number for Periodontics And Implant Dentistry, PA is 1376617902. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Periodontics And Implant Dentistry, PA located?

Periodontics And Implant Dentistry, PA is located at 160 S Livingston Ave Suite110-111, Livingston, NJ 07039. The listed phone number is (973) 994-9995.

What is Periodontics And Implant Dentistry, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontics And Implant Dentistry, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.