Organization
JESSICA MARN, DDS, DENTAL OUTREACH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL SPURGEON (CREDENTIALING)
(888) 833-8441
Entity
Organization
Contact information
Practice address
6725 W CENTRAL AVE, TOLEDO, OH 43617-1148
(888) 833-8441
Mailing address
PO BOX 250310, WEST BLOOMFIELD, MI 48325-0310
(888) 833-8441
(888) 373-9612
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12014348A
STATE LICENSURE
IN
01
—
30.02744
STATE LICENSURE
OH
Enumeration date
08/05/2008
Last updated
08/17/2026
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