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JACKSON PEDIATRIC DENTISTRY
NPI 1053667451
Dentist - Pediatric Dentistry in Lubbock, TX

Active since August 03, 2012
3233 63RD ST, SUITE A, LUBBOCK, TX 79413(806) 789-9870 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON PEDIATRIC DENTISTRY (NPI 1053667451) is a healthcare organization registered as a pediatric dentistry in Lubbock, Texas and active in the NPI registry since August 2012. The organization lists Cecily Lynn Jackson, Registered Agent/director, as its authorized official.

NPPES Registry Identity

NPI1053667451
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCECILY L. JACKSON, DDS, P.C.
Location Address3233 63RD ST, SUITE ALubbock, TX 79413-5742
Mailing Address21 W Lakeshore DrRansom Canyon, TX 79366-2517
Phone(806) 789-9870
Organization SubpartNo
Authorized OfficialCecily Lynn JacksonRegistered Agent/director · (806) 789-9870
Enumeration DateAugust 3, 2012
✔ NPI 1053667451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 24654
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3233 63RD ST, Lubbock, TX 79413
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Other Names 1

Doing Business AsJackson Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES THOMAS MAUPIN D.D.S.
Dentist
3233 63RD ST, SUITE A
LUBBOCK, TX 79413
Lubbock County (806) 589-3390
DR. CECILY LYNN JACKSON DDS
Dentist (Pediatric Dentistry)
3233 63RD ST, SUITE A
LUBBOCK, TX 79413
Lubbock County (806) 368-8856

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cecily L. Jackson, Dds, P.C.'s NPI number?

The NPI number for Cecily L. Jackson, Dds, P.C. is 1053667451. It was assigned to this organization in the NPPES registry on August 3, 2012. The provider is doing business as Jackson Pediatric Dentistry.

Where is Cecily L. Jackson, Dds, P.C. located?

Cecily L. Jackson, Dds, P.C. is located at 3233 63rd St Suite A, Lubbock, TX 79413. The listed phone number is (806) 789-9870.

What is Cecily L. Jackson, Dds, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Cecily L. Jackson, Dds, P.C. was last updated on August 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.