Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GUS J. LIVADITIS, D.D.S.
Active Sole ProprietorDR. GUS J. LIVADITIS, D.D.S. is a Pediatric Dentistry healthcare provider located in LUTHERVILLE, Maryland. NPI 1700962610 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LUTHERVILLE, MD
Registration Details
- NPI Number
- 1700962610
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2006 (19.599451843966 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5052 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1206 YORK RDSUITE 100LUTHERVILLE, MD, 210936217Browse MD providers · Browse ZIP 21093
- Phone
- 4103378950
- Fax
- 4103378994
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.