Jackson Pediatric Dentistry is a Pediatric Dental Clinic in Lubbock, Texas. It is located at 3233 63rd St, Suite A, Lubbock, TX and its contact number is 806-789-9870. The authorized person for Jackson Pediatric Dentistry is Dr. Cecily Lynn Jackson
who is Registered Agent/director of the clinic and their contact number is 806-789-9870. The primary license number for Jackson Pediatric Dentistry is 24654 (Pediatric Dentistry) in Texas. Jackson Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Jackson Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Jackson Pediatric Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
3233 63rd St, Suite A, Lubbock, Texas, 79413-5742
Phone:
806-789-9870
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Cecily Lynn Jackson
Position:
Registered Agent/director
Contact Number:
806-789-9870
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jackson Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1053667451
NPI Enumeration Date:
03 Aug, 2012
NPI Last Update On:
03 Aug, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackson Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
24654
Texas
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jackson Pediatric Dentistry 21 W Lakeshore Dr, Ransom Canyon, Texas
Zip:
79366-2517
Phone Number:
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Patients can reach Jackson Pediatric Dentistry at 3233 63rd St, Suite A, Lubbock, Texas or can call to book an appointment on 806-789-9870. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.