Individual provider · Type 1 NPI

Gregory Wayne Jackson, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Chicago, IL

NPI number 1801970769 Active

Practice location

6435 S Pulaski Rd
Chicago, IL 60629-5148

Fax (773) 767-0861

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

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 1801970769

Gregory Wayne Jackson, DDS's National Provider Identifier is 1801970769, issued on Oct 25, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.