Doralia A. Jackson, DDS
Dentist · Great Lakes, IL
NPI number
1194705293
Practice location
3001a Sixth St.Great Lakes, IL 60088-2833
- Phone
- (847) 688-2100
NPI record
- NPI
- 1194705293
- Entity type
- Individual (Type 1)
- Enumeration date
- January 17, 2006
- Last updated
- July 13, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
— | IL |
About Dr. Jackson
Doralia A. Jackson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3001a Sixth St., Great Lakes, IL 60088-2833. The NPI number 1194705293 was assigned on January 17, 2006 and the record was last updated on July 13, 2026.
Frequently asked questions
What is the NPI number of Doralia A. Jackson, DDS?
The NPI number is 1194705293.
What is the phone number of Dr. Jackson?
The phone number listed for the practice location is (847) 688-2100.
Where is Dr. Jackson located?
3001a Sixth St., Great Lakes, IL 60088-2833.
What is the taxonomy code for Dr. Jackson?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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