Livingston Mall Dental, Pa is a Dental Clinic in Livingston, New Jersey. It is located at 112 Eisenhower Pkwy, Livingston, NJ and its contact number is 973-422-9399. The authorized person for Livingston Mall Dental, Pa is Dr. Alexander Mikhailov
who is Owner of the clinic and their contact number is 973-422-9399. The primary license number for Livingston Mall Dental, Pa is 19779 (General Practice) in New Jersey.
Livingston Mall Dental, Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Livingston Mall Dental, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Livingston Mall Dental, Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 112 Eisenhower Pkwy, Livingston,
New Jersey, 07039-4995 |
| Phone: | 973-422-9399 |
| Fax: | 973-422-1828 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Alexander Mikhailov |
| Position: | Owner |
| Contact Number: | 973-422-9399 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Livingston Mall Dental, Pa clinic are as mentioned below.
| NPI Number: | 1972665057 |
| NPI Enumeration Date: | 14 Dec, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Livingston Mall Dental, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 19779 | New Jersey | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8094705 | Medicaid | New Jersey | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Livingston Mall Dental, Pa
112 Eisenhower Pkwy,
Livingston, New Jersey |
| Zip: | 07039-4995 |
| Phone Number: | -- |
| Fax Number: | -- |
Patients can reach Livingston Mall Dental, Pa at
112 Eisenhower Pkwy, Livingston, New Jersey or can
call to book an appointment on 973-422-9399.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.