Jennifer Lee Mackey, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9312 Issued in CT

Practice address

423 Long Hill Rd
Groton, CT 06340-3812

Phone

(860) 449-8330

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Jennifer Lee Deojay Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497866875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 LONG HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403812",
            "telephone_number": "860-449-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 LONG HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403812",
            "telephone_number": "860-449-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DEOJAY",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "R.D.H.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emberleigh Lyn Luce, LMFT
• Christie Lee Lunny, COTA/L
• Luxottica of America Inc.
• Lydia P Perry LPC Ladc
• Thomas Joseph Maciolek, PH.D.
• Crystal Mackinnon, LCSW
• Theologos Ted Malahias, D.D.S
• Christine M Malcom, P.T.
• John Anthony Maldonado-Rivera
• Parris Malhoit

• General Practice Dentistry in Groton, CT
• Providers in Groton, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.