Lynnette Jackson, DDS is an oral and maxillofacial surgery dentist in Los Angeles, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Lynnette Jackson, DDS NPI is 1447392311. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
12012 S WILMINGTON AVENUE LOS ANGELES, CA ZIP 90059 Phone: (310) 668-4515 Fax: (310) 763-8909
The enumeration date for this NPI number is 2/13/2007 and was last updated on 7/8/2007.
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:
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: 3/30/2025
NPI Synchronization or Removal
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