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Reynaldo Jackson, DMD
NPI 1407435696 · on the registry since 2021
Practice
- Address
- 9521 S Western Ave
Chicago, IL 60643 - Phone
- (773) 344-9120
- Clinicians at this address
- 5
Additional practice sites
- 10510 Gravelly Lake Dr Sw, Lakewood, WA
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- Dentist
- Licence states on file
- WA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois