IndividualActive
Jacky Lung
NPI 1164378055 · Orthodontics and Dentofacial Orthopedics Dentistry · Santa Fe, NM
Provider details
- NPI number
- 1164378055
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DB-2025-0259 (NM)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1439 S Saint Francis Dr
Santa Fe, NM 87505-4037
Phone: (505) 473-5437
Street-level locationGet directions
Mailing address
955 Richards Ave Apt 1016
Santa Fe, NM 87507-6213
Registry dates
- Enumerated
- 2026-03-05
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.