IndividualActive
Terrance Jackson, DMD
NPI 1356929335 · Dentist · Chicago, IL
Provider details
- NPI number
- 1356929335
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6260 N Broadway St
Chicago, IL 60660-1968
Phone: (773) 627-0111
Street-level locationGet directions
Mailing address
169 W Huron St Unit 1105
Chicago, IL 60654-3612
Additional practice locations (2)
- 8301 S Holland Rd Ste BChicago, IL 60620-1303Phone: (773) 488-2444
- 2138 Madison AveToledo, OH 43604-5131Phone: (419) 241-6215
Registry dates
- Enumerated
- 2021-03-31
- Last updated
- 2023-05-10
- Certified
- 2023-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.