DR. LOIS ANN JACKSON D.D.S. - NPI 1477762391

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

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About Dr. Lois Ann Jackson D.d.s. NPPES

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

DR. LOIS ANN JACKSON D.D.S. (NPI 1477762391) is an individual pediatric dentistry provider in New York, New York, licensed in New York (033223) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1477762391

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. LOIS ANN JACKSONCredential: D.D.S.

Location Address505 LAGUARDIA PL, L4New York, NY 10012-2001

Mailing Address505 Laguardia Pl, L4New York, NY 10012-2001 · (212) 995-8888 · Fax (212) 995-0131

Phone(212) 995-8888

Fax(212) 995-0131

Sole ProprietorYes

Enumeration DateMay 21, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1477762391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in NY · 033223

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.

505 LAGUARDIA PL, New York, NY 10012

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