Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK LOUIE, D.D.S.
ActiveJACK LOUIE, D.D.S. is a 1223D0004X healthcare provider located in BOSTON, Massachusetts. NPI 1487901740 is currently active in the NPPES registry. Verify at CMS.
1223D0004X · BOSTON, MA
Registration Details
- NPI Number
- 1487901740
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2012 (14.043314621394 yrs)
- Last Updated
- May 10, 2025
- Licenses
-
14351 (CT)DN1859750 (MA)DN1859750 (MA)
Practice Information
- Address
-
110 STUART ST UNIT 18ABOSTON, MA, 021165668Browse MA providers · Browse ZIP 02116
- Phone
- 9012583188
- Primary Specialty
-
1223D0004X
1223D0004X
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- 1223D0004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.