Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREGORY WAYNE JACKSON, DDS
Active Sole ProprietorDR. GREGORY WAYNE JACKSON, DDS is a Orthodontics healthcare provider located in CHICAGO, Illinois. NPI 1801970769 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · CHICAGO, IL
Registration Details
- NPI Number
- 1801970769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2006 (19.759147978551 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
6435 S PULASKI RDCHICAGO, IL, 606295148Browse IL providers · Browse ZIP 60629
- Phone
- 7737670849
- Fax
- 7737670861
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. CARLOTTA ANN EVANS | D.D.S. | 1124018841 |
| DR. YOON SOOK PARK | D.D.S | 1255375416 |
| DR. ROBERT NUDERA | DDS | 1093807372 |
| BUDI KUSNOTO | DDS, MS | 1447349618 |
| DR. NORMAN W. GARN | D.D.S.,M.S. | 1124109426 |
| DR. KENNETH S. HAUSER | D.D.S. | 1316023989 |
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.