OrganizationActive
Periodontics and Implant Dentistry, PA
NPI 1376617902 · Periodontics · Livingston, NJ
Periodontics and Implant Dentistry, PA is a Periodontics organization in Livingston, NJ (NPI 1376617902).
Provider details
- NPI number
- 1376617902
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Barry Wagenberg, President(973) 994-9995
- License
- DI10755 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
160 S Livingston Ave
Suite110-111
Livingston, NJ 07039-3033
Phone: (973) 994-9995
Fax: (973) 994-1991
Street-level locationGet directions
Mailing address
160 S Livingston Ave
Livingston, NJ 07039-3033
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2020-08-22
Frequently asked questions
- What is Periodontics and Implant Dentistry, PA's NPI number?
- Periodontics and Implant Dentistry, PA's National Provider Identifier (NPI) is 1376617902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontics and Implant Dentistry, PA?
- Periodontics and Implant Dentistry, PA is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontics and Implant Dentistry, PA located?
- Periodontics and Implant Dentistry, PA's practice location on file with NPPES is 160 S Livingston Ave, Livingston, NJ 07039-3033.
- What is Periodontics and Implant Dentistry, PA's phone number?
- The practice phone number listed in the NPPES registry for Periodontics and Implant Dentistry, PA is (973) 994-9995.
- Who is the authorized official for Periodontics and Implant Dentistry, PA?
- The authorized official listed on Periodontics and Implant Dentistry, PA's NPPES record is Barry Wagenberg, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontics and Implant Dentistry, PA's NPI active?
- Yes — Periodontics and Implant Dentistry, PA's NPI (1376617902) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.