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

Organization Exclusive Provider Organization · NPI 1699076083

Urban Pediatric Dental PC is an Exclusive Provider Organization in New York, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

128 Mott St Ste 203
New York, NY 10013-5575
Phone: (212) 965-8113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X · Licence 0497501 (NY)
Health Maintenance Organization Taxonomy 302R00000X · Licence 0535941 (NY)

Record details

NPI number1699076083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Marn — Practice Owner · (212) 965-8113
NPI enumeratedNovember 16, 2010
Last updated in NPPESJanuary 24, 2013
Mailing address128 Mott Street, Suite 203, New York, NY 10013-5575

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