Healthcare Provider Details

I. General information

NPI: 1467319087
Provider Name (Legal Business Name): JENNA GAW, DDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6123 HALLORAN LN
HOFFMAN ESTATES IL
60192-4817
US

IV. Provider business mailing address

6123 HALLORAN LN
HOFFMAN ESTATES IL
60192-4817
US

V. Phone/Fax

Practice location:
  • Phone: 925-285-2411
  • Fax:
Mailing address:
  • Phone: 925-285-2411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNA GAW
Title or Position: OWNER
Credential: DDS
Phone: 925-285-2411