Jackson, Shelby Ellis

Jackson, Shelby Ellis is an individual health care provider with primary practice located at 6800 Main St , Downers Grove IL 60516-3493. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Jackson, Shelby Ellis can be contacted via phone (630) 969-5350.

Contact Information

Primary practice address
6800 Main St Downers Grove IL 60516-3493
Phone: (630) 969-5350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.034067 Illinois
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 021.003305 Illinois

Profile Details

NPI number 1801677471
LBN Legal business name Jackson, Shelby Ellis
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2023
Last updated Jan 10th, 2024 - about 2 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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