Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TAYLOR NICOLE JACKSON, DDS
Active Sole ProprietorDR. TAYLOR NICOLE JACKSON, DDS is a Pediatric Dentistry healthcare provider located in CHICAGO, Illinois. NPI 1043943939 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · CHICAGO, IL
Registration Details
- NPI Number
- 1043943939
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2022 (4.1320978565288 yrs)
- Last Updated
- Oct 21, 2025
- License
-
019.036136 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6307 S STEWART AVECHICAGO, IL, 606213116Browse IL providers · Browse ZIP 60621
- Phone
- 7739623976
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MARIBEL REYES DE LOBOS | DDS | 1548232291 |
| DENISE EILEEN FISHER | D.D.S. | 1700836657 |
| DR. DARRYN ROBERT WEINSTEIN | DDS | 1811906035 |
| MARILIA J MONTERO-FAYAD | — | 1487769626 |
| DR. LESLEE D RUTHERFORD | D.D.S. | 1710094768 |
| DR. JOSEPH FRANCIS ZUCCHERO | DDS MS | 1912014135 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.