Thomas Jackson

Periodontics · Barrington, IL

Individual Active NPI

NPI number 1447595814

Practice location

205 W Main St
Barrington, IL 60010-4205
Phone
(847) 842-6900
Fax
(847) 842-6966

Open in Google Maps

NPI record

NPI
1447595814
Entity type
Individual (Type 1)
Enumeration date
December 11, 2012
Last updated
December 11, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 021.002086 IL

About Thomas Jackson

Thomas Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 205 W Main St, Barrington, IL 60010-4205. The NPI number 1447595814 was assigned on December 11, 2012 and the record was last updated on December 11, 2012.

Thomas Jackson lists a license in the registry: #021.002086 (IL) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Jackson?

The NPI number is 1447595814.

What is the phone number of Thomas Jackson?

The phone number listed for the practice location is (847) 842-6900.

Where is Thomas Jackson located?

205 W Main St, Barrington, IL 60010-4205.

What is the taxonomy code for Thomas Jackson?

The primary taxonomy code is 1223P0300X – Periodontics.

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.

Other Periodontics providers in Barrington

All Periodontics providers in Barrington, IL →