Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Periodontics and Implant Dentistry, PA

Organization Periodontics · NPI 1376617902

Periodontics and Implant Dentistry, PA provides 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
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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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