# NJ DENTAL PARTNERS ONE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAIRLAWN DENTAL ASSOCIATES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073003604
- **Legal business name:** FAIRLAWN DENTAL ASSOCIATES
- **Authorized official:** KEITH DUNOFF (OWNER)
- **Authorized official phone:** (732) 750-0707

## Contact information

- **Practice address:** 25-15 FAIR LAWN AVE, FAIR LAWN, NJ 07410-3434
- **Practice address phone:** (201) 797-8464
- **Mailing address:** 1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2018
- **Last updated:** 05/18/2018
