Individual
DR. JOHN PAUL LIVENGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
125 BACK SPRINGS RD, BEDFORD, AL 15522
(814) 623-5513
(814) 623-8147
Mailing address
125 BACK SPRINGS RD, BEDFORD, PA 15522-2040
(814) 623-5513
(814) 623-8147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS017695
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148027
UNITED CONCORDIA
PA
Enumeration date
07/13/2006
Last updated
07/08/2007
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