Individual provider · Type 1 NPI
Thomas Jackson
Periodontics · Barrington, IL
NPI number
1447595814
Active
Practice location
205 W Main St
Barrington, IL 60010-4205
Fax (847) 842-6966
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 021.002086 (IL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1447595814
Thomas Jackson's National Provider Identifier is 1447595814, issued on Dec 11, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Barrington, IL. The record was last updated on Dec 11, 2012.