The Practice Of Anesthesia & Gen. Dentistry

LBN: The Practice Of Anesthesia & Gen. Dentistry
The Practice Of Anesthesia & Gen. Dentistry is an health care organization with primary practice located at 386 A/B Warren Street , Roxbury MA 02119-0000. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. The Practice Of Anesthesia & Gen. Dentistry can be contacted via phone (800) 676-2750, or through Jackson, Lue Dee via phone (800) 676-2750.

Contact Information

Primary practice address
386 A/B Warren Street Roxbury MA 02119-0000
Phone: (800) 676-2750
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Lue Dee DMD, MD
Phone: (800) 676-2750

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 15374 Massachusetts

Profile Details

NPI number 1417128042
LBN Legal business name The Practice Of Anesthesia & Gen. Dentistry
DBA Doing business as
Authorized official Jackson, Lue Dee DMD, MD
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 24th, 2008
Last updated Mar 24th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417128042 NPPES
Massachusetts MEDICAID 0262331

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