Warren C. Sordill Dmd Pc | |
209 S Livingston Ave Suite 2 Livingston NJ 07039-4044 | |
(973) 992-4750 | |
(973) 992-5262 |
Full Name | Warren C. Sordill Dmd Pc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 209 S Livingston Ave, Livingston, New Jersey |
Authorized Official Name and Position | Warren C. Sordill (OWNER) |
Authorized Official Contact | 9739924750 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Warren C. Sordill Dmd Pc 209 S Livingston Ave Suite 2 Livingston NJ 07039-4044 Ph: (973) 992-4750 | Warren C. Sordill Dmd Pc 209 S Livingston Ave Suite 2 Livingston NJ 07039-4044 Ph: (973) 992-4750 |
NPI Number | 1619234697 |
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Provider Enumeration Date | 04/16/2012 |
Last Update Date | 04/16/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619234697 | NPI | - | NPPES |
512859 | Other | NJ | MEDICARE PROVIDER # 512859 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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