Cecily L. Jackson, DDS, P.C.
Pediatric Dentistry · Lubbock, TX
Practice location
3233 63rd StSuite a
Lubbock, TX 79413-5742
- Phone
- (806) 789-9870
NPI record
- NPI
- 1053667451
- Entity type
- Organization (Type 2)
- Enumeration date
- August 3, 2012
- Last updated
- August 3, 2012
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X |
24654 | TX |
Mailing address
21 W Lakeshore DrRansom Canyon, TX 79366-2517
Authorized official
- Name
- Dr. Cecily Lynn Jackson, DDS
- Title
- Registered Agent/Director
- Phone
- (806) 789-9870
Other names
- Jackson Pediatric Dentistry
About Cecily L. Jackson, DDS, P.C.
Cecily L. Jackson, DDS, P.C. is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 3233 63rd St, Suite a, Lubbock, TX 79413-5742. The NPI number 1053667451 was assigned on August 3, 2012 and the record was last updated on August 3, 2012.
Cecily L. Jackson, DDS, P.C. lists a license in the registry: #24654 (TX) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Cecily Lynn Jackson, DDS, Registered Agent/Director.
Frequently asked questions
What is the NPI number of Cecily L. Jackson, DDS, P.C.?
The NPI number is 1053667451.
What is the phone number of Cecily L. Jackson, DDS, P.C.?
The phone number listed for the practice location is (806) 789-9870.
Where is Cecily L. Jackson, DDS, P.C. located?
3233 63rd St, Suite a, Lubbock, TX 79413-5742.
What is the taxonomy code for Cecily L. Jackson, DDS, P.C.?
The primary taxonomy code is 1223P0221X – Pediatric Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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