# NEW PROVIDENCE DENTISTRY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1164195533
- **Authorized official:** DR. ELIZABETH HERKO (CEO)
- **Authorized official phone:** (908) 376-9297

## Contact information

- **Practice address:** 571 CENTRAL AVE STE 100, NEW PROVIDENCE, NJ 07974-1547
- **Practice address phone:** (908) 376-9297
- **Mailing address:** 571 CENTRAL AVE STE 100, NEW PROVIDENCE, NJ 07974-1547
- **Mailing address phone:** (908) 376-9297

## Taxonomy

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

## Other

- **Enumeration date:** 07/30/2021
- **Last updated:** 07/30/2021