Provider Demographics
NPI:1699835553
Name:FURIE, LESLIE ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:LESLIE ANN
Middle Name:
Last Name:FURIE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 ROUTE 9 SOUTH
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726
Mailing Address - Country:US
Mailing Address - Phone:732-409-2900
Mailing Address - Fax:732-409-6524
Practice Address - Street 1:193 ROUTE 9 SOUTH
Practice Address - Street 2:SUITE 2C
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726
Practice Address - Country:US
Practice Address - Phone:732-409-2900
Practice Address - Fax:732-409-6524
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI153931223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics