Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Side Pediatric Dental

Organization Pediatric Dentistry · NPI 1538539986

East Side Pediatric Dental is a Pediatric Dentistry in New York, New York. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

133 E 58th St Ste 402
New York, NY 10022-1157
Phone: (212) 965-8113
Fax: (212) 965-8114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1538539986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Marn — Pediatric Dentist/President · (212) 965-8113
NPI enumeratedSeptember 29, 2015
Last updated in NPPESSeptember 29, 2015
Mailing address128 Mott Street, Suite 403, New York, NY 10013-5575

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