Individual provider · Type 1 NPI

Taylor Nicole Jackson, DDS

Pediatric Dentistry · Chicago, IL

NPI number 1043943939 Active

Practice location

6307 S Stewart Ave
Chicago, IL 60621-3116

Mailing address

820 S Wood St Ste 100
Chicago, IL 60612-4325

Other practice locations

  • 3290 Executive Dr Unit 100, Joliet, IL 60431-8465 · (815) 729-2277

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X019.036136 (IL)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

13 other providers at this address

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About NPI 1043943939

Taylor Nicole Jackson, DDS's National Provider Identifier is 1043943939, issued on Jul 7, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Chicago, IL. The record was last updated on Oct 21, 2025.