Healthcare Provider Details

I. General information

NPI: 1649184615
Provider Name (Legal Business Name): TRIELLE ORTHODONTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 MORRIS AVE STE B109
UNION NJ
07083-5716
US

IV. Provider business mailing address

2333 MORRIS AVE STE B109
UNION NJ
07083-5716
US

V. Phone/Fax

Practice location:
  • Phone: 908-206-4700
  • Fax:
Mailing address:
  • Phone: 908-206-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: ADEDOLAPO ELIZABETH AYEDIRAN
Title or Position: ORTHODONTIST/OWNER
Credential: DDS
Phone: 908-206-4700