Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Marylyn Jackson

General Practice Dentistry in Olympia Fields, IL · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023359510

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Registry record

Entity type Individual (Type 1)

Name Marylyn Jackson

Sex Female

Practice address 2555 Lincoln Hwy, Suite 113, Olympia Fields, IL, 60461

Phone (708) 679-0668

Enumeration date Mar 7, 2013

Last updated in NPPES Mar 7, 2013

Taxonomy & licenses

122300000X Dentist Dental Providers · License 019-017207 (IL) Secondary

1223G0001X General Practice Dentistry Dental Providers · License 019-017207 (IL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Marylyn Jackson?

The National Provider Identifier (NPI) for Marylyn Jackson is 1023359510, a Type 1 (individual) record in the CMS NPPES registry.

Where does Marylyn Jackson practice?

The practice location on file with NPPES is in Olympia Fields, IL. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-07.