Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DORALIA A JACKSON, DDS

Active

Dentist · GREAT LAKES, IL

Registration Details

NPI Number: 1194705293
Provider Type: Individual
Gender: Female
NPI Issued: Jan 17, 2006 (20.298979334826 yrs)
Last Updated: Jul 8, 2007

Practice Information

Address: 3001A SIXTH ST.

GREAT LAKES, IL, 600882833
Browse IL providers · Browse ZIP 60088
Phone: 8476882100
Primary Specialty: Dentist
122300000X

Other Dentist Providers in GREAT LAKES, IL

Name	Credential	NPI
DR. KYLE SCHMIDT	DDS	1609852219
DR. SHERYL THYKATTIL	DDS	1689650467
DR. JOHN J MURPHY	D.D.S.	1649257403
DR. RONALD JOHN RUDLAFF	D.D.S.	1568448322
DR. WALTER R WITTKE	DDS	1326026535
DR. MARTIN LOUIS GOTTSTINE	DDS	1215915384

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.