# IRIE DENTAL ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1215131172
- **Authorized official:** DR. RUTH ELAINE PARKIN EDWIN DMD (OWNER)
- **Authorized official phone:** (973) 743-4743

## Contact information

- **Practice address:** 275 BROAD ST, 1ST FLOOR, BLOOMFIELD, NJ 07003-2724
- **Practice address phone:** (973) 743-4743
- **Practice address fax:** (973) 743-4780
- **Mailing address:** 275 BROAD ST, 1ST FLOOR, BLOOMFIELD, NJ 07003-2724
- **Mailing address phone:** (973) 743-4743
- **Mailing address fax:** (973) 743-4780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI02147100 | NJ | Yes |
| 1223G0001X | General Practice Dentistry | DI123123 | NJ | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | DIO2172300 | NJ | — |
| 1223P0300X | Periodontics | DI20510 | NJ | — |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 09/11/2025