Lue Dee Jackson Jr., DMD, MD
NPI 1568623841ActiveIndividual· Dentist· Roxbury, MA
Dentist (DMD, MD) in Roxbury, Massachusetts, licensed in MA, with an NPI issued in June 2008. Enrolled in Medicare as practitioner - dentist.
Overview
| NPI | 1568623841 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD, MD |
| Sole proprietor | Yes |
| NPI issued | Jun 19, 2008 |
| Last updated in NPPES | Jun 19, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 15374 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dentist (TX) |
|---|
Education and affiliations
| Graduation year | 1979 |
|---|---|
| Medicare specialty | Dentist |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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