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

Dr. Reynaldo Jackson, DMD

Individual provider Dentist · NPI 1407435696

Dr. Reynaldo Jackson, DMD is a Dentist in Chicago, Illinois. Works from 2 locations. Licensed in Illinois and Washington.

Licensed in
IL, WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9521 S Western Ave
Chicago, IL 60643-1013
Phone: (773) 344-9120
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499-5036 — (253) 589-7030

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.036510 (IL)
Dentist Taxonomy 122300000X · Licence DE61346798 (WA)

Record details

NPI number1407435696
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address10510 Gravelly Lake Dr Sw, Lakewood, WA 98499-5036

Other providers in Chicago