# IRONBOUND DENTAL SPECIALISTS

> 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:** 1740554534
- **Authorized official:** CARMEN QUISPE (OFFICE MANAGER)
- **Authorized official phone:** (973) 817-5511

## Contact information

- **Practice address:** 290 FERRY ST, NEWARK, NJ 07105-3475
- **Practice address phone:** (973) 817-5511
- **Practice address fax:** (973) 465-1955
- **Mailing address:** 290 FERRY ST, NEWARK, NJ 07105-3475
- **Mailing address phone:** (973) 817-5511
- **Mailing address fax:** (973) 465-1955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |
| 1223P0300X | Periodontics | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 02/27/2012
- **Last updated:** 02/27/2012