Provider Demographics
NPI:1346516861
Name:GIVNER, ALISON R (DDS)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:R
Last Name:GIVNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 E NORTHFIELD ROAD
Mailing Address - Street 2:SUITE G
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039
Mailing Address - Country:US
Mailing Address - Phone:973-559-5555
Mailing Address - Fax:973-559-5560
Practice Address - Street 1:65 E NORTHFIELD ROAD
Practice Address - Street 2:SUITE G
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:973-559-5555
Practice Address - Fax:973-559-5560
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D102469400122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist