Search › Illinois › 122300000X
Carol Jackson, D.D.S
NPI 1649496910 · on the registry since 2007 · sole proprietor
Practice
- Address
- 614 N Gilbert St
Danville, IL 61832 - Phone
- (217) 442-8790
- Fax
- (217) 442-8780
- Organisation at this address
- Aunt Martha'S Health And Wellness, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- MD, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-19
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