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1137 Fort Lee LLC — NPI 1780940395, Fort Lee, NJ | NPI Central

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NPI 1780940395

OrganizationActive

1137 Fort Lee LLC

NPI 1780940395 · General Practice Dentistry · Fort Lee, NJ

Provider details

NPI number: 1780940395
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Organization subpart: No
Authorized official: Joseph Mauriello, Dentist(201) 224-8180

Specialties & taxonomies

General Practice DentistryPrimary1223G0001X
Dental Providers

Practice location

1625 Anderson Ave

Fort Lee, NJ 07024-2748

Phone: (201) 944-1260

Approximate (ZIP-level) locationGet directions

More NJ providers

Mailing address

1625 Anderson Ave

Fort Lee, NJ 07024-2748

Registry dates

Enumerated: 2012-04-09
Last updated: 2012-04-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.