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DR MARILYN D JACKSON & ASSOCIATES LTD
NPI 1336123041
Dentist in Sauk Village, IL

Active since December 06, 2005
1705 E SAUK TRL, SAUK VILLAGE, IL 60411(708) 757-3100(708) 757-3272 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr Marilyn D Jackson & Associates Ltd NPPES

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

DR MARILYN D JACKSON & ASSOCIATES LTD (NPI 1336123041) is a healthcare organization registered as a dentist in Sauk Village, Illinois and active in the NPI registry since December 2005. The organization lists Marilyn Denise Jackson, Dentist President Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1336123041
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDR MARILYN D JACKSON & ASSOCIATES LTD
Location Address1705 E SAUK TRLSauk Village, IL 60411-4955
Mailing AddressPo Box 1893Chicago Heights, IL 60412-1893 · (708) 757-3100 · Fax (708) 757-3272
Phone(708) 757-3100
Fax(708) 757-3272
Organization SubpartNo
Authorized OfficialMarilyn Denise JacksonDentist President Of Corporation · (708) 757-3100
Enumeration DateDecember 6, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336123041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in IL · 01917207✔ Licensed in IN · 12009402
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1705 E SAUK TRL, Sauk Village, IL 60411
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Other Identifiers 1

Medicaid1002324IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

CHUKS B AKAEZE
Nurse Practitioner
1705 E SAUK TRL
SAUK VILLAGE, IL 60411
Cook County (708) 506-3188
BETHEL CLINIC & URGENT CARE
Clinic/Center (Primary Care)
1705 E SAUK TRL
SAUK VILLAGE, IL 60411
Cook County (708) 506-3188

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 Dr Marilyn D Jackson & Associates Ltd's NPI number?

The NPI number for Dr Marilyn D Jackson & Associates Ltd is 1336123041. It was assigned to this organization in the NPPES registry on December 6, 2005.

Where is Dr Marilyn D Jackson & Associates Ltd located?

Dr Marilyn D Jackson & Associates Ltd is located at 1705 E Sauk Trl, Sauk Village, IL 60411. The listed phone number is (708) 757-3100.

What is Dr Marilyn D Jackson & Associates Ltd's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Dr Marilyn D Jackson & Associates 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.