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

Jackson Nguyen, DMD

Individual provider Dentist · NPI 1396531364

Jackson Nguyen, DMD is a Dentist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1259 S Wabash Ave
Chicago, IL 60605-2412
Phone: (424) 212-3905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.036312 (IL)

Record details

NPI number1396531364
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 16, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025
Mailing address4961 Galleon Xing, Decatur, GA 30035-3053

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