Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS JACKSON
Active Sole ProprietorDR. THOMAS JACKSON is a Periodontology healthcare provider located in BARRINGTON, Illinois. NPI 1447595814 is currently active in the NPPES registry. Verify at CMS.
Periodontology · BARRINGTON, IL
Registration Details
- NPI Number
- 1447595814
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2012 (13.71023423115 yrs)
- Last Updated
- Dec 11, 2012
- License
-
021.002086 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
205 W MAIN STBARRINGTON, IL, 600104205Browse IL providers · Browse ZIP 60010
- Phone
- 8478426900
- Fax
- 8478426966
- Primary Specialty
-
Periodontology
1223P0300X
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.