Irie Dental Associates Llc - Dental Clinic in Bloomfield, NJ

Irie Dental Associates Llc is a dental clinic (Dentist - Periodontics) in Bloomfield, New Jersey. The current practice location for Irie Dental Associates Llc is 275 Broad St, 1st Floor, Bloomfield, New Jersey. For appointments, you can reach them via phone at (973) 743-4743. The mailing address for Irie Dental Associates Llc is 275 Broad St, 1st Floor, Bloomfield, New Jersey and phone number is (973) 743-4743.

Irie Dental Associates Llc is licensed to practice in New Jersey (license number DI20510) and its NPI number is 1215131172. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (973) 743-4743.

Contact Information

Irie Dental Associates Llc
275 Broad St
1st Floor
Bloomfield
NJ 07003-2724
(973) 743-4743
(973) 743-4780

Dental Care Clinic Profile

Full NameIrie Dental Associates Llc
SpecialityDentist - Periodontics
Location275 Broad St, Bloomfield, New Jersey
Authorized Official Name and PositionRuth Elaine Parkin Edwin (OWNER)
Authorized Official Contact9737434743
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Irie Dental Associates Llc
275 Broad St
1st Floor
Bloomfield
NJ 07003-2724

Ph: (973) 743-4743
Irie Dental Associates Llc
275 Broad St
1st Floor
Bloomfield
NJ 07003-2724

Ph: (973) 743-4743

NPI Details:

NPI Number1215131172
Provider Enumeration Date06/13/2007
Last Update Date08/22/2020

Medical Identifiers

Medical identifiers for Irie Dental Associates Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215131172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DI123123 (New Jersey)Primary
1223G0001XDentist - General Practice DI02147100 (New Jersey)Primary
1223P0106XDentist - Oral And Maxillofacial Pathology DIO2172300 (New Jersey)Primary
1223P0300XDentist - Periodontics DI20510 (New Jersey)Primary

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