Organization
IRIE DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUTH ELAINE PARKIN EDWIN DMD (OWNER)
(973) 743-4743
Entity
Organization
Contact information
Practice address
275 BROAD ST, 1ST FLOOR, BLOOMFIELD, NJ 07003-2724
(973) 743-4743
(973) 743-4780
Mailing address
275 BROAD ST, 1ST FLOOR, BLOOMFIELD, NJ 07003-2724
(973) 743-4743
(973) 743-4780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI02147100
NJ
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
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