Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LUE DEE JACKSON JR., DMD, MD
Active Sole ProprietorDR. LUE DEE JACKSON JR., DMD, MD is a Dentist healthcare provider located in ROXBURY, Massachusetts. NPI 1568623841 is currently active in the NPPES registry. Verify at CMS.
Dentist · ROXBURY, MA
Registration Details
- NPI Number
- 1568623841
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2008 (17.979004001455 yrs)
- Last Updated
- Jun 19, 2008
- License
-
15374 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
386 A-B WARREN STREETROXBURY, MA, 02119Browse MA providers · Browse ZIP 02119
- Phone
- 8006762750
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in ROXBURY, MA
| Name | Credential | NPI |
|---|---|---|
| DR. LI WANG | DMD | 1376629659 |
| DR. SURESH K NAIDU | DDS | 1922154301 |
| RENA YVONNE SMALL | D.M.D. | 1629241872 |
| SILVIA SEQUERRA | D.M.D. | 1578711479 |
| KIMBERLY NICOLE HAYNES | DMD | 1548499742 |
| SUSANA TEJADA | D.M.D. | 1003118225 |
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.