Dr. Reynaldo Jackson is a Chicago, Illinois based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Reynaldo Jackson is 019.036510 for General Practice Dentistry in Illinois. His current practice location is 9521 S Western Ave, Chicago. Patients can reach him at 773-344-9120.
Dr. Reynaldo Jackson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Reynaldo Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Reynaldo Jackson
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
9521 S Western Ave, Chicago, Illinois, 60643-1013
Phone:
773-344-9120
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1407435696
NPI Enumeration Date:
05 Apr, 2021
NPI Last Update On:
12 Sep, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Reynaldo Jackson are as mentioned below.
License Number
Specialization
State
Status
019.036510
General Practice Dentistry
Illinois
Primary
DE61346798
Dentistry
Washington
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10510 Gravelly Lake Dr Sw, Lakewood, Washington
Zip:
98499-5036
Phone Number:
253-589-7030
Patients can reach Dr. Reynaldo Jackson at 9521 S Western Ave, Chicago, Illinois or can call to book an appointment on 773-344-9120. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.