Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Practice of Anesthesia & Gen Dentistry

Organization Dental Clinic/Center · NPI 1417128042

The Practice of Anesthesia & Gen Dentistry is a Dental Clinic/Center in Roxbury, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2008.

Licensed in
MA
In the registry since
2008

Practice location Address checks out

386 A/b Warren St
Roxbury, MA 02119-0000
Phone: (800) 676-2750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 15374 (MA)

Record details

NPI number1417128042
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLue Dee Jackson Jr DMD, MD Dba the Practice of Anesth & Gen Dent
Authorized official Lue Jackson — Gen. Dentist & Anesthesiologist/Own · (800) 676-2750
NPI enumeratedMarch 24, 2008
Last updated in NPPESMarch 24, 2008
Mailing address18 Claremont Park, Boston, MA 02118-3002

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