Provider Demographics
NPI:1083739247
Name:DRS FUGEDY & MCLEES
Entity Type:Organization
Organization Name:DRS FUGEDY & MCLEES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:FUGEDY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-899-3363
Mailing Address - Street 1:1115 ARNOLLD AVE
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-2312
Mailing Address - Country:US
Mailing Address - Phone:732-899-3363
Mailing Address - Fax:732-899-3347
Practice Address - Street 1:1115 ARNOLLD AVE
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT
Practice Address - State:NJ
Practice Address - Zip Code:08742-2312
Practice Address - Country:US
Practice Address - Phone:732-899-3363
Practice Address - Fax:732-899-3347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ11969122300000X
NJ12849122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty