Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY T MANCUSO, D.M.D.
Active Sole ProprietorMARY T MANCUSO, D.M.D. is a General Dentistry healthcare provider located in FAIR LAWN, New Jersey. NPI 1043316698 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FAIR LAWN, NJ
Registration Details
- NPI Number
- 1043316698
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2006 (19.883795082968 yrs)
- Last Updated
- Jul 8, 2007
- License
-
17835 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
27-11 PELLACK DRFAIR LAWN, NJ, 074103723Browse NJ providers · Browse ZIP 07410
- Phone
- 2017967171
- Fax
- 2017960600
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in FAIR LAWN, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. LAWRENCE STEVEN LIZZACK | — | 1649234691 |
| DR. LON J ROSEN | DDS | 1851407886 |
| DR. SANFORD JACOBY | D.M.D | 1194821421 |
| DR. DAVID RICHMAN | DMD | 1265539829 |
| DR. ERIC FASS | D.M.D. | 1902977945 |
| DR. PATRICE RENEE SCHOENBRUN | D.D.S. | 1811068448 |
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.