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General NPI Number Information
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NPI Number | 1245383058
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Entity Type | Organization
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Legal Business Name | LIVINGSTON SHORT HILLS DENTAL ASSOCIATES
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 22 OLD SHORT HILLS RD SUITE 206
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5604
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Country | US
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Telephone | 973-533-6700
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Fax | 973-533-4417
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Provider Business Mailing Address
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Address Line | 22 OLD SHORT HILLS RD SUITE 206
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5604
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Country | US
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Telephone | 973-533-6700
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Fax | 973-533-4417
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Authorized Official
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Title or Position | PARTNER
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Name | ROBERT CRAIG MILLER
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Credential | D.M.D.
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Telephone | 973-533-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DI017019
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DI08550
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DI020733
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 02270100
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License Number State | NJ
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