Mary T Mancuso, DMD
Dentist, General Practice in Fair Lawn, New Jersey
1043316698- Practice location
- 27-11 Pellack Dr, Fair Lawn, NJ 07410-3723
- Phone
- 201-796-7171
- Fax
- 201-796-0600
- Last updated
- July 8, 2007
Mary T Mancuso is a Dentist, General Practice based in Fair Lawn, NJ. Mary T Mancuso practices in Fair Lawn, NJ and has the professional credentials of DMD. The NPI Number for Mary T Mancuso is 1043316698 and holds a License No. 17835 (NJ). The current practice location address for Mary T Mancuso is 27-11 Pellack Dr, Fair Lawn, NJ 07410-3723 and can be reached out via phone at 201-796-7171 and via fax at 201-796-0600.
Provider Profile Details
- NPI Number
- 1043316698
- Provider Name
- Mary T Mancuso
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 27-11 Pellack Dr, Fair Lawn, NJ 07410-3723
- Phone Number
- 201-796-7171
- Fax Number
- 201-796-0600
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 14, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 27-11 Pellack Dr
Fair Lawn, NJ 07410-3723 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-3723
- Phone Number
- 201-796-7171
- Fax Number
- 201-796-0600
Provider Business Mailing Address Details
- Address
- 167 Glenwood Dr
North Haledon, NJ 07508-3020 - City
- North Haledon
- State
- NJ
- Zip
- 07508-3020
License Information
- License Number
- 17835
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mary T Mancuso, DMD?
The NPI number of Mary T Mancuso, DMD is 1043316698. It was assigned on September 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Mary T Mancuso, DMD?
Mary T Mancuso, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 17835.
Where does Mary T Mancuso, DMD practice?
The practice location is 27-11 Pellack Dr, Fair Lawn, NJ 07410-3723. The office can be reached at 201-796-7171 (phone) or 201-796-0600 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043316698 directly on the NPPES registry website.