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EAST SIDE PEDIATRIC DENTAL
NPI 1538539986
Dentist - Pediatric Dentistry in New York, NY

Active since September 29, 2015
133 EAST 58TH STREET, SUITE 402, NEW YORK, NY 10022(212) 965-8113(212) 965-8114 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Side Pediatric Dental NPPES

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

EAST SIDE PEDIATRIC DENTAL (NPI 1538539986) is a healthcare organization registered as a pediatric dentistry in New York, New York and active in the NPI registry since September 2015. The organization lists Jessica Loo Marn, Pediatric Dentist/president, as its authorized official.

NPPES Registry Identity

NPI1538539986
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameEAST SIDE PEDIATRIC DENTAL
Location Address133 EAST 58TH STREET, SUITE 402New York, NY 10022-1157
Mailing Address128 Mott Street, Suite 403New York, NY 10013-5575 · (212) 965-8113 · Fax (212) 965-8114
Phone(212) 965-8113
Fax(212) 965-8114
Organization SubpartNo
Authorized OfficialJessica Loo MarnPediatric Dentist/president · (212) 965-8113
Enumeration DateSeptember 29, 2015
✔ NPI 1538539986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
133 EAST 58TH STREET, New York, NY 10022
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

PARK AVENUE PODIATRY ASSOCIATES PC
Podiatrist
133 EAST 58TH STREET, SUITE 407
NEW YORK, NY 10022
New York County (212) 753-3520
NEW YORK COLORECTAL CARE LLC
Clinic/Center (Medical Specialty)
133 EAST 58TH STREET, #304
NEW YORK, NY 10022
New York County (212) 688-2100
DR. MARTIN HERMAN KENT DDS
Dentist
133 EAST 58TH STREET, SUITE # 706
NEW YORK CITY, NY 10022
New York County (212) 751-9490

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 East Side Pediatric Dental's NPI number?

The NPI number for East Side Pediatric Dental is 1538539986. It was assigned to this organization in the NPPES registry on September 29, 2015.

Where is East Side Pediatric Dental located?

East Side Pediatric Dental is located at 133 East 58th Street Suite 402, New York, NY 10022. The listed phone number is (212) 965-8113.

What is East Side Pediatric Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for East Side Pediatric Dental was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.