Warren C. Sordill DMD PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

WARREN C. SORDILL DMD PC

Practice address

209 S Livingston Ave
Suite 2
Livingston, NJ 07039-4044

Phone

(973) 992-4750

Fax

(973) 992-5262

NPI assigned

Apr 16, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Warren C. Sordill, DMD

Title

Owner

Phone

(973) 992-4750

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1619234697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S LIVINGSTON AVE",
            "address_2": "SUITE 2",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394044",
            "telephone_number": "973-992-4750",
            "fax_number": "973-992-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S LIVINGSTON AVE",
            "address_2": "SUITE 2",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394044",
            "telephone_number": "973-992-4750",
            "fax_number": "973-992-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN C. SORDILL DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "SORDILL",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-992-4750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER # 512859",
            "identifier": "512859",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ai-Lan Wang, MD
• Di Wang, MD
• Jonathan Wang, DPT
• Richard O Wanga, PMHNP-BC
• Mitchell Wangsgard, M.D.
• Nicholas S Warren
• Wendy Warren, M.D.
• Karen Nancy Wasserman, PH.D.
• Jonathan Wasserstein, O.D.
• Jeanne Hom Waxman, M.S., CCC

• Oral and Maxillofacial Surgery (Dentist) in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.