Doctor profile · Federal record
Dr. Jack Mitchell, DDS
Dentist · Lockport, IL
- NPI 1902067143
- 18 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
230 E 8Th St, Suite #5
Lockport, IL 604413081
(815) 838-6102
fax (815) 838-6281
Credentials & registration
- NPI registered
- June 2008 — 18 yrs on file
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Illinois #019.015670
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902067143. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,008
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Kuraray America Inc. | 1 | $1,008.33 |
By nature of payment
Frequently asked questions
What is Dr. Jack Mitchell's medical specialty?
Dr. Jack Mitchell practices Dentist in Lockport, IL.
Where does Dr. Jack Mitchell practice?
Dr. Jack Mitchell practices at 230 E 8Th St, Lockport, IL 604413081. Office phone: 8158386102.
What is Dr. Jack Mitchell's NPI?
Dr. Jack Mitchell's National Provider Identifier (NPI) is 1902067143, issued by NPPES.