Individual provider · Type 1 NPI

Shelby Ellis Jackson, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Downers Grove, IL

NPI number 1801677471 Active

Practice location

6800 Main St
Downers Grove, IL 60516-3493

Call (630) 969-5350 Map

Mailing address

530 N North Shore Ct
Lake Orion, MI 48362-3067

Other practice locations

  • 7124 W Diversey Ave, Chicago, IL 60707-1601 · (773) 237-8855

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019.034067 (IL)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X021.003305 (IL)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1801677471

Shelby Ellis Jackson, DMD's National Provider Identifier is 1801677471, issued on Oct 10, 2023. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Downers Grove, IL. The record was last updated on Jan 10, 2024.