# ADVANCED DENAL CARE OF LIVINGSTON LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124232483
- **Authorized official:** DR. JEFFREY MERMELSTEIN D.M.D. (OWNER)
- **Authorized official phone:** (973) 992-0003

## Contact information

- **Practice address:** 201 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-4043
- **Practice address phone:** (973) 992-0003
- **Practice address fax:** (973) 992-4644
- **Mailing address:** 201 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-4043
- **Mailing address phone:** (973) 992-0003
- **Mailing address fax:** (973) 992-4644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14163 | NJ | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020
