Individual provider · Type 1 NPI

Doralia A. Jackson, DDS

Dentist · Great Lakes, IL

NPI number 1194705293 Active

Practice location

3001A Sixth St.
Great Lakes, IL 60088-2833

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1194705293

Doralia A. Jackson, DDS's National Provider Identifier is 1194705293, issued on Jan 17, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Great Lakes, IL. The record was last updated on Jul 13, 2026.