# PRECIDENT OF NEW JERSEY, 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:** 1699346437
- **Authorized official:** DR. SCOTTY L BOLDING DDS, MS (OWNER)
- **Authorized official phone:** (479) 957-4611

## Contact information

- **Practice address:** 1135 BROAD ST STE 100, CLIFTON, NJ 07013-3346
- **Practice address phone:** (973) 256-0103
- **Practice address fax:** (973) 256-8066
- **Mailing address:** PO BOX 2714, DEPT 2243, CONWAY, AR 72033-2714
- **Mailing address phone:** (973) 256-0103
- **Mailing address fax:** (973) 256-8066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | — |

## Other

- **Enumeration date:** 07/02/2021
- **Last updated:** 05/12/2023