TERRANCE LORNE JACKSON DMD
NPI 1356929335
Dentist in Chicago, IL

Q: What is Terrance Jackson's NPI number?

The NPI number for Terrance Jackson is 1356929335. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Terrance Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Terrance Jackson was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 31, 2021

6260 N BROADWAY ST, CHICAGO, IL 60660(773) 627-0111 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2023, Mar 4, 2022, Mar 31, 2021 (3 updates tracked since 2021).

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About Terrance Lorne Jackson Dmd NPPES

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

TERRANCE LORNE JACKSON DMD (NPI 1356929335) is an individual dentist in Chicago, Illinois, licensed in Illinois (019.033509) and active in the NPI registry since March 2021. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356929335

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTERRANCE LORNE JACKSONCredential: DMD

Location Address6260 N BROADWAY STChicago, IL 60660-1968

Mailing Address169 W Huron St Unit 1105Chicago, IL 60654-3612 · (706) 619-6159

Phone(773) 627-0111

Sole ProprietorYes

Enumeration DateMarch 31, 2021

Last NPPES UpdateMay 10, 20233 updates tracked since enumeration

NPPES CertifiedMay 10, 2023

✔ NPI 1356929335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.033509

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6260 N BROADWAY ST, Chicago, IL 60660

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Secondary Practice Locations 2

Location 12138 Madison AveToledo, OH 43604-5131 · Phone (419) 241-6215

Location 28301 S Holland Rd Ste BChicago, IL 60620-1303 · Phone (773) 488-2444

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

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

NEW SMILES P.C.

Dentist

6260 N BROADWAY ST
CHICAGO, IL 60660

Cook County (773) 627-0111

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 Terrance Jackson's NPI number?

The NPI number for Terrance Jackson is 1356929335. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Terrance Jackson located?

Terrance Jackson practices at 6260 N Broadway St, Chicago, IL 60660. The listed phone number is (773) 627-0111.

What is Terrance Jackson's specialty?

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

What insurance does Terrance Jackson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Terrance Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Terrance Jackson was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.