Lue Dee Jackson is a Dentist in Boston, Massachusetts. Lue Dee Jackson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lue Dee Jackson is 1568623841. The last update date is 2008-06-19.
Lue Dee Jackson's current location address is 18 Claremont Park, Boston, Massachusetts. You can contact this provider via phone number 8006762750. The mailing address for Lue Dee Jackson is 18 Claremont Park, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lue Dee Jackson |
|---|---|
| Address | 18 Claremont Park, Boston, Massachusetts |
| Phone Number | 8006762750 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD, MD |
NPI Number Detail
| NPI Number | 1568623841 |
|---|---|
| Provider Enumeration Date | 2008-06-19 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | 18 Claremont Park |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21183002 |
| Phone Number | 8006762750 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 15374 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 262331 | MA | -- |
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What is the unique identifier code issued to Lue Dee Jackson by the Centers for Medicare & Medicaid Services?
The Lue Dee Jackson has been assigned the NPI (National Provider Identifier) 1568623841. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lue Dee Jackson located?
The Lue Dee Jackson is located at 18 Claremont Park, Boston, MA 21183002.
What is the Lue Dee Jackson's area of specialization and corresponding taxonomy classification?
The Lue Dee Jackson's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did Lue Dee Jackson receive its 1568623841 assignment from the Centers for Medicare & Medicaid Services?
The Lue Dee Jackson was assigned its 1568623841 on 2008-06-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Lue Dee Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lue Dee Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-19.
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