Dr. Jessica Loo Marn
Pediatric Dentist
128 Mott St Suite 203
New York
, New York 10013-5540
Dr. Jessica Loo Marn
Pediatric Dentist
128 Mott St Suite 203
New York
, New York 10013-5540
(212) 965-8113
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Jessica Loo Marn
- 128 Mott St Suite 203
- New York, NY
- Zip : 10013-5540
- Phone : (212) 965-8113
Second Address
- Dr. Jessica Loo Marn
- 128 Mott St Suite 203
- New York, NY
- Zip : 10013-5540
- Phone : (212) 965-8113
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Is Dr. Jessica Loo Marn a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 049750-1 | NY |
National Provider Identifier
| NPI | 1033221759 |
|---|---|
| Provider Name | Dr. Jessica Loo Marn |
| First Address | New York, NY 10013-5540 |
| Second Address | New York, NY 10013-5540 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0016614 | DORAL DENTAL (01) | NY |
| 02289563 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.