# IRENA JUG-WEISS,D.M.D.,L.L.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073723888
- **Authorized official:** DR. IRENA JUG-WEISS D.M.D. (DENTIST PROPRIETOR)
- **Authorized official phone:** (856) 779-7450

## Contact information

- **Practice address:** 115 E MAIN ST, MAPLE SHADE, NJ 08052-2621
- **Practice address phone:** (856) 779-7450
- **Practice address fax:** (856) 779-7702
- **Mailing address:** 115 E MAIN ST, MAPLE SHADE, NJ 08052-2621
- **Mailing address phone:** (856) 779-7450
- **Mailing address fax:** (856) 779-7702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI016291 | NJ | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/02/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DI0162910 | STATE DENTAL LICENSE | NJ |