MEDICARE: JENNA GAW, DDS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1780283267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JENNA GAW, DDS, PLLC

Provider Business Mailing Address
First Line	:	6123 HALLORAN LN
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60192-4817
Country	:	US
Telephone Number	:	925-285-2411
Fax Number	:

Provider Business Practice Location Address
First Line	:	6123 HALLORAN LN
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60192-4817
Country	:	US
Telephone Number	:	925-285-2411
Fax Number	:

Authorized Official
Title or Position	:	ENDODONTIST
Name	:	DR. JENNA GAW
Credential	:	DDS
Telephone Number	:	925-285-2411

Provider Enumeration Date	:	10/26/2020
Last Update Date	:	03/22/2026

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