Terrance Lorne Jackson is a Chicago, Illinois based Dentist who is specialized in Dentist. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Terrance Lorne Jackson is 019.033509 for Dentistry in Illinois. His current practice location is 6260 N Broadway St, Chicago. Patients can reach him at 773-627-0111.
Terrance Lorne 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:
Terrance Lorne 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:
Terrance Lorne Jackson
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
6260 N Broadway St, Chicago, Illinois, 60660-1968
Phone:
773-627-0111
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:
1356929335
NPI Enumeration Date:
31 Mar, 2021
NPI Last Update On:
10 May, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Terrance Lorne Jackson are as mentioned below.
License Number
Specialization
State
Status
019.033509
Dentistry
Illinois
Primary
Student in an Organized Health Care Education/Training Program
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:
169 W Huron St Unit 1105, Chicago, Illinois
Zip:
60654-3612
Phone Number:
706-619-6159
Patients can reach Terrance Lorne Jackson at 6260 N Broadway St, Chicago, Illinois or can call to book an appointment on 773-627-0111. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.