NPPES file of Aug 9, 2026

Lynnette Jackson, DDS

Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA

Lynnette Jackson, DDS is an oral and maxillofacial surgery (dentist) with a practice address in Los Angeles, California, and NPI 1447392311, issued on Feb 13, 2007. Check the license (California 29305, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1447392311
Name
Lynnette Jackson
Credential
DDS
Primary taxonomy
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
License number
29305 CA
Self-reported in NPPES; status is on the state search
Practice location
12012 S Wilmington Avenue, Los Angeles, CA 90059
Phone
(310) 668-4515
Enumerated
Feb 13, 2007
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(310) 763-8909
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 12012 S Wilmington Avenue

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Robabeh Azari, NMWRegistered Nurse1477695328
  2. Daphne Calmes, MDPediatrics Physician1548302490
  3. Dely Chua, RNPRegistered Nurse1679615538
  4. Bartholomew Gilliam, PA-CPhysician Assistant1285776153
  5. Jun Goeku, PA-CPhysician Assistant1992847867

Verify Lynnette Jackson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 29305
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Lynnette Jackson among 987 oral and maxillofacial surgery (dentist) records in California

Lynnette Jackson, DDS is one of 987 oral and maxillofacial surgery (dentist) records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 34% of them.

  • NPI issued2007 · 34% of these records are older, 42% newer
  • In a Medicare fileNo · 75% of these records are
  • In the CMS Doctors and Clinicians fileNo · 7% of these records are
  • Record last updated2007 · 67% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223S0112X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Oral and Maxillofacial Surgery (Dentist) providers in California

There are 987 oral and maxillofacial surgery (dentist) records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 oral and maxillofacial surgery (dentist) records with the nearest ZIP codes

  1. Oscar Alonzo, DDSLos Angeles, CA 900591598897779
  2. Julene Funk, DDSLos Angeles, CA 900571851930457
  3. Gail Strahs, DDSLos Angeles, CA 900641922126226
  4. Omar Kholaki, D.D.S., M.D.Los Angeles, CA 900671750738555
  5. Jay Lee, DDS, MDLos Angeles, CA 900671134418304
  6. James Olsen, D.M.D. , M.D.Los Angeles, CA 900671235455775
  7. Robert Relle, D.D.S.Los Angeles, CA 900671811055759
  8. Diana Medina, DDSLos Angeles, CA 900491003827551

Common questions

What is Lynnette Jackson, DDS's NPI number?

Lynnette Jackson, DDS's National Provider Identifier (NPI) is 1447392311, issued on Feb 13, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Lynnette Jackson, DDS located?

The NPPES record lists a practice address at 12012 S Wilmington Avenue, Los Angeles, CA, 90059. Phone: (310) 668-4515. Providers update this record themselves, so call before visiting.

How can I verify Lynnette Jackson, DDS's license?

NPPES lists California license number 29305, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.