DR. GREGORY WAYNE JACKSON DDS
NPI 1801970769
Dentist - Orthodontics and Dentofacial Orthopedics in Chicago, IL

Active since October 25, 2006
6435 S PULASKI RD, CHICAGO, IL 60629(773) 767-0849(773) 767-0861 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gregory Wayne Jackson Dds NPPES

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

DR. GREGORY WAYNE JACKSON DDS (NPI 1801970769) is an individual orthodontics and dentofacial orthopedics provider in Chicago, Illinois and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1801970769
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. GREGORY WAYNE JACKSONCredential: DDS
Location Address6435 S PULASKI RDChicago, IL 60629-5148
Mailing Address6435 S Pulaski RdChicago, IL 60629-5148 · (773) 767-0849 · Fax (773) 767-0861
Fax(773) 767-0861
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1801970769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
6435 S PULASKI RD, Chicago, IL 60629

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.

Dentist (General Practice)
6435 S PULASKI RD
CHICAGO, IL 60629
Dentist (Oral and Maxillofacial Surgery)
6435 S PULASKI RD
CHICAGO, IL 60629
Clinic/Center (Dental)
6435 S PULASKI RD
CHICAGO, IL 60629

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 Jackson's NPI number?

The NPI number for Gregory Jackson is 1801970769. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Gregory Jackson located?

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

What is Gregory Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Gregory Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.