Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carol D Jackson, DDS

Individual provider Dentist · NPI 1649496910

Carol D Jackson, DDS is a Dentist in Danville, Illinois. Practices as a sole proprietor. Licensed in Illinois and Maryland.

Licensed in
IL, MD
In the registry since
2007
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

614 N Gilbert St
Danville, IL 61832-3940
Phone: (217) 442-8790
Fax: (217) 442-8780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 14764 (MD)
Dentist Taxonomy 122300000X · Licence 019023180 (IL)

Record details

NPI number1649496910
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 17, 2007
Last updated in NPPESSeptember 19, 2012
Mailing address208 Crain Highway, Southwest, Glen Burnie, MD 21061

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