Jack Louie, D.D.S.

NPI #1487901740 in Boston, Massachusetts

Provider Information

NPI Number: 1487901740
Entity Type: Individual
Name: Jack Louie, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Dental Anesthesiology
Credential: D.D.S.
Enumeration Date: Aug 6, 2012
Last Updated: May 10, 2025

Practice Location

Address: 110 STUART ST UNIT 18A
City: Boston
State: Massachusetts
ZIP Code: 02116-5668
Phone: (901) 258-3188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Dental Anesthesiology — Dental Anesthesiology	1223D0004X	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Student in an Organized Health Care Education/Training Program	390200000X

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