Organization
JL ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK LOUIE DDS (PRESIDENT)
(901) 258-3188
Entity
Organization
Contact information
Practice address
648 WASHINGTON ST, HANOVER, MA 02339-2386
(901) 258-3188
Mailing address
87 FISHER ST, NEEDHAM, MA 02492-1424
(901) 258-3188
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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