EAST SIDE PEDIATRIC DENTAL is a pediatric dentistry dentist in New York, NY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. EAST SIDE PEDIATRIC DENTAL NPI is 1538539986. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
133 EAST 58TH STREET SUITE 402 NEW YORK, NY ZIP 10022-157 Phone: (212) 965-8113 Fax: (212) 965-8114
The provider's authorized official is Jessica Loo Marn . The authorized official title is Pediatric Dentist/president and has the following contact phone number (212) 965-8113.
The enumeration date for this NPI number is 9/29/2015 and was last updated on 9/29/2015.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
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