Jackson, Eric

Jackson, Eric is an sole proprietor health care provider with primary practice located at 2033 Ogden Ave , Downers Grove IL 60515-2601. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jackson, Eric can be contacted via phone (630) 963-6750.

Contact Information

Primary practice address
2033 Ogden Ave Downers Grove IL 60515-2601
Phone: (630) 963-6750
Fax: (630) 963-6761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019026703 Illinois

Profile Details

NPI number 1104949171
LBN Legal business name Jackson, Eric
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2007
Last updated May 5th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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