Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARVIN BLANE JACKSON, DDS
Active Sole ProprietorMARVIN BLANE JACKSON, DDS is a Dentist healthcare provider located in PHOENIX, Arizona. NPI 1265624332 is currently active in the NPPES registry. Verify at CMS.
Dentist · PHOENIX, AZ
Registration Details
- NPI Number
- 1265624332
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2007 (19.006587379716 yrs)
- Last Updated
- Oct 6, 2021
- Licenses
-
6605138-9921 (UT)D010196 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4550 E BELL RD. ST. 102PHOENIX, AZ, 850329306Browse AZ providers · Browse ZIP 85032
- Phone
- 6024851588
- Fax
- 6027079740
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. DARWIN N. DAVIS | D.D.S. | 1437156080 |
| MOHAMED N KARAWI | D.D.S | 1437156106 |
| BETH HAMANN | D.D.S. | 1609875020 |
| DR. BENJAMIN MARK BERSCHLER | D.M.D. | 1013918135 |
| DR. SAMANTHA CALLAHAN | D.D.S. | 1851383848 |
| JOHN WILLIAM DOVGAN | DDS | 1124011358 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.