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JACQUELINE SO DMD
NPI 1184284895
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since June 14, 2019
760 BROADWAY, ROOM 2C319, BROOKLYN, NY 11206(718) 963-8310(718) 630-3244 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2020, Jun 14, 2019 (2 updates tracked since 2019).

About Jacqueline So Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE SO DMD (NPI 1184284895) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1184284895
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELINE SOCredential: DMD
Location Address760 BROADWAY, ROOM 2C319Brooklyn, NY 11206
Mailing Address760 Broadway, Room 2c319Brooklyn, NY 11206 · (718) 963-8310 · Fax (718) 630-3244
Phone(718) 963-8310
Fax(718) 630-3244
Sole ProprietorNo
Enumeration DateJune 14, 2019
Last NPPES UpdateFebruary 28, 20202 updates tracked since enumeration
✔ NPI 1184284895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
760 BROADWAY, ROOM 2C319, Brooklyn, NY 11206
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THANH-TAM NGUYEN TRAN DMD
Student in an Organized Health Care Education/Training Program
760 BROADWAY, ROOM 2C319
BROOKLYN, NY 11206
Kings County (718) 963-8310
MARIE KWOK
Dentist (Endodontics)
760 BROADWAY, ROOM 2C319, DEPARTMENT OF DENTISTRY/ATTENTION M. RODRIGUEZ
BROOKLYN, NY 11206
Kings County (718) 963-8310
MYROSLAVA VASYLIVNA KAVAKA
Student in an Organized Health Care Education/Training Program
760 BROADWAY, ROOM 2C319, DEPARTMENT OF DENTISTRY/ATTENTION M.RODRIGUEZ
BROOKLYN, NY 11206
Kings County (718) 963-8310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline So's NPI number?

The NPI number for Jacqueline So is 1184284895. It was assigned to this individual provider in the NPPES registry on June 14, 2019.

Where is Jacqueline So located?

Jacqueline So practices at 760 Broadway, Room 2c319, Brooklyn, NY 11206. The listed phone number is (718) 963-8310.

What is Jacqueline So's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacqueline So was last updated on February 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.