DR. JACKY LUNG NPI 1164378055

NPI Information

  • NPI: 1164378055
  • Provider Name: DR. JACKY LUNG
  • Classification: Dentist - 1223X0400X
  • Specialization: Orthodontics and Dentofacial Orthopedics
  • Entity Type: Individual
  • Address: 1439 S SAINT FRANCIS DR
    SANTA FE, NM
    ZIP 87505
  • Phone: (505) 473-5437

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NPI Details

DR. Jacky Lung is an orthodontics and dentofacial orthopedics dentist in Santa Fe, NM. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. DR. Jacky Lung NPI is 1164378055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1439 S SAINT FRANCIS DR
SANTA FE, NM
ZIP 87505-037
Phone: (505) 473-5437

The enumeration date for this NPI number is 3/5/2026 and was last updated on 3/5/2026.

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
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsDB-2025-0259NEW MEXICOYes

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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