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LIVINGSTON MALL DENTAL, PA
NPI 1972665057
Dentist - General Practice in Livingston, NJ

Active since December 14, 2006
112 EISENHOWER PKWY, LIVINGSTON, NJ 07039(973) 422-9399(973) 422-1828 Get Directions Write a Review

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

About Livingston Mall Dental, Pa NPPES

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

LIVINGSTON MALL DENTAL, PA (NPI 1972665057) is a healthcare organization registered as a general practice in Livingston, New Jersey and active in the NPI registry since December 2006. The organization lists Alexander Mikhailov, Owner, as its authorized official.

NPPES Registry Identity

NPI1972665057
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIVINGSTON MALL DENTAL, PA
Location Address112 EISENHOWER PKWYLivingston, NJ 07039-4995
Mailing Address112 Eisenhower PkwyLivingston, NJ 07039-4995
Phone(973) 422-9399
Fax(973) 422-1828
Organization SubpartNo
Authorized OfficialAlexander MikhailovOwner · (973) 422-9399
Enumeration DateDecember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972665057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NJ · 19779
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
112 EISENHOWER PKWY, Livingston, NJ 07039
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Other Identifiers 1

Medicaid8094705NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 5

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

NATHAN T DEDEO AND ASSOCIATES INC
Optometrist
112 EISENHOWER PKWY, SUITE 2020
LIVINGSTON, NJ 07039
Essex County (973) 535-1171
OPTICAL IMAGE OF LIVINGSTON
Optometrist
112 EISENHOWER PKWY, SUITE 129
LIVINGSTON, NJ 07039
Essex County (973) 994-1444
OPTICAL IMAGES OF LIVINGSTON, LLC
Eyewear Supplier
112 EISENHOWER PKWY, SUITE 129
LIVINGSTON, NJ 07039
Essex County (973) 994-1444
SPHERE EYECARE, PC
Optometrist
112 EISENHOWER PKWY, SUITE 2020
LIVINGSTON, NJ 07039
Essex County (973) 535-1171
MARIANNA TERESCHENKO O.D.
Optometrist
112 EISENHOWER PKWY, C/O LENSCRAFTERS
LIVINGSTON, NJ 07039
Essex County (973) 535-1171

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 Livingston Mall Dental, PA's NPI number?

The NPI number for Livingston Mall Dental, PA is 1972665057. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is Livingston Mall Dental, PA located?

Livingston Mall Dental, PA is located at 112 Eisenhower Pkwy, Livingston, NJ 07039. The listed phone number is (973) 422-9399.

What is Livingston Mall Dental, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Livingston Mall Dental, PA accept?

Health plans from UnitedHealthcare list Livingston Mall Dental, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Livingston Mall Dental, 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.