GREGORY W. JACKSON DDS, LTD
NPI 1205911120
Clinic/Center - Dental in Chicago, IL

Q: What is Gregory W. Jackson Dds, Ltd's NPI number?

The NPI number for Gregory W. Jackson Dds, Ltd is 1205911120. It was assigned to this organization in the NPPES registry on October 26, 2006.

Q: What is Gregory W. Jackson Dds, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since October 26, 2006

6435 S PULASKI RD, CHICAGO, IL 60629(773) 767-0849(773) 767-0861 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Gregory W. Jackson Dds, Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY W. JACKSON DDS, LTD (NPI 1205911120) is a healthcare organization registered as a dental in Chicago, Illinois and active in the NPI registry since October 2006. The organization lists Gregory Wayne Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1205911120

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameGREGORY W. JACKSON DDS, LTD

Location Address6435 S PULASKI RDChicago, IL 60629-5148

Mailing Address6435 S Pulaski RdChicago, IL 60629-5148 · (773) 767-0849 · Fax (773) 767-0861

Phone(773) 767-0849

Fax(773) 767-0861

Organization SubpartNo

Authorized OfficialGregory Wayne JacksonPresident · (773) 767-0849

Enumeration DateOctober 26, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1205911120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

6435 S PULASKI RD, Chicago, IL 60629

Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GREGORY JOHN DALTON DMD

Dentist (General Practice)

6435 S PULASKI RD
CHICAGO, IL 60629

Cook County (773) 585-2800

JACK S. LITZ, D.D.S., LTD.

Dentist (Oral and Maxillofacial Surgery)

6435 S PULASKI RD
CHICAGO, IL 60629

Cook County (773) 735-2515

DR. GREGORY WAYNE JACKSON DDS

Dentist (Orthodontics and Dentofacial Orthopedics)

6435 S PULASKI RD
CHICAGO, IL 60629

Cook County (773) 767-0849

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory W. Jackson Dds, Ltd's NPI number?

The NPI number for Gregory W. Jackson Dds, Ltd is 1205911120. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Gregory W. Jackson Dds, Ltd located?

Gregory W. Jackson Dds, Ltd is located at 6435 S Pulaski Rd, Chicago, IL 60629. The listed phone number is (773) 767-0849.

What is Gregory W. Jackson Dds, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Gregory W. Jackson Dds, Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.