CECILY L. JACKSON DDS P.C. NPI 1053667451

NPI Information

  • NPI: 1053667451
  • Provider Name: CECILY L. JACKSON, DDS, P.C.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: JACKSON PEDIATRIC DENTISTRY
  • Address: 3233 63RD ST
    SUITE A
    LUBBOCK, TX
    ZIP 79413
  • Phone: (806) 789-9870

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NPI Details

CECILY L. JACKSON, DDS, P.C. is a pediatric dentistry dentist in Lubbock, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CECILY L. JACKSON, DDS, P.C. NPI is 1053667451. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jackson Pediatric Dentistry.

The provider's business location address is:

3233 63RD ST
SUITE A
LUBBOCK, TX
ZIP 79413-742
Phone: (806) 789-9870

The provider's authorized official is Cecily Lynn Jackson .
The authorized official title is Registered Agent/director and has the following contact phone number (806) 789-9870.

The enumeration date for this NPI number is 8/3/2012 and was last updated on 8/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry24654TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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