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

Dr. Taylor Nicole Jackson, DDS

Individual provider Pediatric Dentistry · NPI 1043943939

Dr. Taylor Nicole Jackson, DDS is a Pediatric Dentistry in Chicago, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
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

6307 S Stewart Ave
Chicago, IL 60621-3116
Phone: (773) 962-3976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3290 Executive Dr Unit 100, Joliet, IL 60431-8465 — (815) 729-2277

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 019.036136 (IL)

Record details

NPI number1043943939
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 7, 2022
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address820 S Wood St Ste 100, Chicago, IL 60612-4325

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