Gregory Wayne Jackson in Chicago - Orthodontics And Dentofacial Orthopedics
Gregory Wayne Jackson - NPI 1801970769
Gregory Wayne Jackson is a Orthodontics And Dentofacial Orthopedics in Chicago, Illinois. Gregory Wayne Jackson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Gregory Wayne Jackson is 1801970769. The last update date is 2007-07-08.
Gregory Wayne Jackson's current location address is 6435 S Pulaski Rd, Chicago, Illinois. You can contact this provider via phone number 7737670849 and fax number 7737670861. The mailing address for Gregory Wayne Jackson is 6435 S Pulaski Rd, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Wayne Jackson |
|---|---|
| Address | 6435 S Pulaski Rd, Chicago, Illinois |
| Phone Number | 7737670849 |
| Fax Number | 7737670861 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1801970769 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6435 S Pulaski Rd |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606295148 |
| Phone Number | 7737670849 |
| Fax Number | 7737670861 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the Gregory Wayne Jackson's 1801970769?
The Gregory Wayne Jackson's NPI (National Provider Identifier) Number is 1801970769. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gregory Wayne Jackson is located?
The Gregory Wayne Jackson is situated at the following address: 6435 S Pulaski Rd, Chicago, IL, 606295148.
What is the area of specialization for Gregory Wayne Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gregory Wayne Jackson is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
When did the Gregory Wayne Jackson receive its 1801970769?
The Gregory Wayne Jackson was issued its 1801970769 on 2006-10-25, which is the date when the organization was assigned this unique identifier.
When was the Gregory Wayne Jackson's information last updated?
The Gregory Wayne Jackson's information was last updated on 2007-07-08.