Julisa Jackson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

600229415 Issued in WI

Practice address

10757 W Cleveland Ave
West Allis, WI 53227-3211

Phone

(414) 203-6175

NPI assigned

May 22, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Act Dental LLC

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1952996456
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1881524619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9760 NW 1ST MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714903",
            "telephone_number": "954-551-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10757 W CLEVELAND AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532273211",
            "telephone_number": "414-203-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JULISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "600229415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Ishihara, MS, LPC-IT
• Kumar V. Iyer, D.D.S.
• Samir Jaber, SA-C
• Andrea K Jackett
• Ann Clara Jackson
• Lindsay Jacob, CCC-SLP
• Cheryl Ann Jaeger, CNM
• Amarjit S. Jaglan, M.D.
• James L. Cook DDS,SC
• Margaret Mary Jankowski

• General Practice Dentistry in West Allis, WI
• Providers in West Allis, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.