THE PRACTICE OF ANESTHESIA & GEN. DENTISTRY
NPI 1417128042
Clinic/Center - Dental in Roxbury, MA

Active since March 24, 2008
386 A/B WARREN STREET, ROXBURY, MA 02119(800) 676-2750 Get Directions Write a Review

NPPES record last updated: March 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Practice Of Anesthesia & Gen. Dentistry NPPES

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

THE PRACTICE OF ANESTHESIA & GEN. DENTISTRY (NPI 1417128042) is a healthcare organization registered as a dental in Roxbury, Massachusetts and active in the NPI registry since March 2008. The organization lists Lue Dee Jackson, Gen. Dentist & Anesthesiologist/own, as its authorized official.

NPPES Registry Identity

NPI1417128042
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTHE PRACTICE OF ANESTHESIA & GEN. DENTISTRY
Location Address386 A/B WARREN STREETRoxbury, MA 02119-0000
Mailing Address18 Claremont ParkBoston, MA 02118-3002 · (800) 676-2750
Organization SubpartYesParent: Lue Dee Jackson Jr. Dmd, Md Dba The Practice Of Anesth. & Gen. Dent.
Authorized OfficialLue Dee JacksonGen. Dentist & Anesthesiologist/own · (800) 676-2750
Enumeration DateMarch 24, 2008
NPI 1417128042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in MA · 15374
386 A/B WARREN STREET, Roxbury, MA 02119

Other Identifiers 1

Medicaid0262331MA

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 The Practice Of Anesthesia & Gen. Dentistry's NPI number?

The NPI number for The Practice Of Anesthesia & Gen. Dentistry is 1417128042. It was assigned to this organization in the NPPES registry on March 24, 2008.

Where is The Practice Of Anesthesia & Gen. Dentistry located?

The Practice Of Anesthesia & Gen. Dentistry is located at 386 A/B Warren Street, Roxbury, MA 02119. The listed phone number is (800) 676-2750.

What is The Practice Of Anesthesia & Gen. Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for The Practice Of Anesthesia & Gen. Dentistry was last updated on March 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.