Individual provider · Type 1 NPI

Barry David Wagenberg, DMD

Periodontics · Livingston, NJ

NPI number 1699849240 Active

Practice location

160 S Livingston Ave, Suite 110-111
Livingston, NJ 07039-3033

Fax (973) 994-1991

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDI10755 (NJ)

Periodontics: 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.

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About NPI 1699849240

Barry David Wagenberg, DMD's National Provider Identifier is 1699849240, issued on Nov 17, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Livingston, NJ. The record was last updated on Jul 8, 2007.