CECILY L. JACKSON DDS P.C. NPI 1053667451

NPI Information

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:

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