MEDICARE: PROCARE DENTAL LIVINGSTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1043178866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROCARE DENTAL LIVINGSTON

Provider Business Mailing Address
First Line	:	22 OLD SHORT HILLS RD STE 207
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-5605
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 OLD SHORT HILLS RD STE 207
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-5605
Country	:	US
Telephone Number	:	973-533-1777
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAYAL KSHATRIYA
Credential	:	DDS
Telephone Number	:	203-727-0024

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “PROCARE DENTAL LIVINGSTON ” Practice Location

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