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The Practice of Anesthesia & Gen. Dentistry

Dental Clinic/Center in Roxbury, MA · enumerated 2008 · authorized official Lue Jackson, Gen. Dentist & Anesthesiologist/Own.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417128042

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Registry record

Entity type Organization (Type 2)
Legal business name The Practice of Anesthesia & Gen. Dentistry
Parent organization Lue Dee Jackson Jr. Dmd, MD Dba the Practice of Anesth. & Gen. Dent.
Practice address 386 A/B Warren Street, Roxbury, MA, 02119
Phone (800) 676-2750
Enumeration date Mar 24, 2008
Last updated in NPPES Mar 24, 2008

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License 15374 (MA) Primary

Authorized official

Name Lue Jackson
Title Gen. Dentist & Anesthesiologist/Own
Phone (800) 676-2750

Other identifiers

Identifier Type State Issuer
0262331 Medicaid MA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for The Practice of Anesthesia & Gen. Dentistry?
The NPI for The Practice of Anesthesia & Gen. Dentistry is 1417128042, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for The Practice of Anesthesia & Gen. Dentistry?
NPPES lists Lue Jackson (Gen. Dentist & Anesthesiologist/Own) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-24.