Individual provider · Type 1 NPI

Jackson Nguyen, DMD

Dentist · Chicago, IL

NPI number 1396531364 Active

Practice location

1259 S Wabash Ave
Chicago, IL 60605-2412

Call (424) 212-3905 Map

Mailing address

4961 Galleon Xing
Decatur, GA 30035-3053

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019.036312 (IL)

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 1396531364

Jackson Nguyen, DMD's National Provider Identifier is 1396531364, issued on Apr 16, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Chicago, IL. The record was last updated on Aug 14, 2025.