Individual provider · Type 1 NPI

Marylyn Jackson

General Practice Dentistry · Olympia Fields, IL

NPI number 1023359510 Active

Practice location

2555 Lincoln Hwy, Suite 113
Olympia Fields, IL 60461-1936

Call (708) 679-0668 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019-017207 (IL)
General Practice Dentistry Primary 1223G0001X019-017207 (IL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1023359510

Marylyn Jackson's National Provider Identifier is 1023359510, issued on Mar 7, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Olympia Fields, IL. The record was last updated on Mar 7, 2013.