Jacqueline Tjon Sieuw Morin

Primary specialty

DentistTaxonomy code 122300000X

License

3429 Issued in ME

Legal business name

JACQUELINE TJON SIEUW MORIN

Practice address

28 S Factory St
Skowhegan, ME 04976-1425

Phone

(207) 474-9326

NPI assigned

May 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jacqueline Tjon Sieuw Morin, D.M.D.

Title

Owner

Phone

(207) 474-9326

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568670347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S FACTORY ST",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761425",
            "telephone_number": "207-474-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S FACTORY ST",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761425",
            "telephone_number": "207-474-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE TJON SIEUW MORIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TJON SIEUW MORIN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-474-9326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ME",
            "license": "3429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimie Rose Hurdt, OTR
• Eric Ifune, M.D.
• Insight-Premier Health LLC (RAYUS Radiology Skowhegan)
• Harry Irving, DO
• Randa Jaber, MD
• Lisa Anne Jacunski, PTA
• Diana L Jeannotte, M.D.
• Kayla Florence Johnson, LCPC-C
• Judy Byler
• Cathal Kavanagh, DO

• Dentist in Skowhegan, ME
• Providers in Skowhegan, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.