Search › Illinois › 122300000X
Terrance Jackson, DMD
NPI 1356929335 · on the registry since 2021 · sole proprietor
Practice
- Address
- 6260 N Broadway St
Chicago, IL 60660 - Phone
- (773) 627-0111
- Organisation at this address
- New Smiles P.C.
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 2138 Madison Ave, Toledo, OH
- 8301 S Holland Rd Ste B, Chicago, IL
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois