| Jackson Pediatric Dentistry | |
|
3233 63rd St Suite A Lubbock TX 79413-5742 | |
| (806) 789-9870 | |
| Not Available |
| Full Name | Jackson Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3233 63rd St, Lubbock, Texas |
| Authorized Official Name and Position | Cecily Lynn Jackson (REGISTERED AGENT/DIRECTOR) |
| Authorized Official Contact | 8067899870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Pediatric Dentistry 21 W Lakeshore Dr Ransom Canyon TX 79366-2517 Ph: () - | Jackson Pediatric Dentistry 3233 63rd St Suite A Lubbock TX 79413-5742 Ph: (806) 789-9870 |
| NPI Number | 1053667451 |
|---|---|
| Provider Enumeration Date | 08/03/2012 |
| Last Update Date | 08/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053667451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 24654 (Texas) | Primary |
Special Needs Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2420 Quaker Ave, Suite 101, Lubbock, TX 79410 Phone: 806-701-5066 | |
Abbeville Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Slide Rd, Lubbock, TX 79416 Phone: 806-712-4082 Fax: 806-798-1168 | |
Harkins, Hancock And Johnston Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11010 Quaker Ave, Lubbock, TX 79424 Phone: 806-797-6453 Fax: 806-791-2273 | |
Jason P. White, Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4425 98th St Ste 300, Lubbock, TX 79424 Phone: 806-795-5226 Fax: 806-795-0362 | |
Parkview Pediatric Dental Holdings, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7515 Quaker Ave Ste 100, Lubbock, TX 79424 Phone: 806-796-2408 | |
Hill-davis Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3234 64th St, Lubbock, TX 79413 Phone: 806-793-0651 Fax: 806-793-1338 |