# WARREN C. SORDILL DMD PC

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

## Provider details

- **NPI number:** 1619234697
- **Authorized official:** DR. WARREN C. SORDILL DMD (OWNER)
- **Authorized official phone:** (973) 992-4750

## Contact information

- **Practice address:** 209 S LIVINGSTON AVE, SUITE 2, LIVINGSTON, NJ 07039-4044
- **Practice address phone:** (973) 992-4750
- **Practice address fax:** (973) 992-5262
- **Mailing address:** 209 S LIVINGSTON AVE, SUITE 2, LIVINGSTON, NJ 07039-4044
- **Mailing address phone:** (973) 992-4750
- **Mailing address fax:** (973) 992-5262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2012
- **Last updated:** 04/16/2012