Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY TYLER JACKSON, D.D.S.
ActiveDR. LARRY TYLER JACKSON, D.D.S. is a Pediatric Dentistry healthcare provider located in PEORIA, Arizona. NPI 1396186276 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · PEORIA, AZ
Registration Details
- NPI Number
- 1396186276
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2013 (13.091332912842 yrs)
- Last Updated
- Apr 7, 2017
- License
-
D009113 (AZ)
Practice Information
- Address
-
14100 N 83RD AVESTE 280PEORIA, AZ, 853815658Browse AZ providers · Browse ZIP 85381
- Phone
- 6239359873
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in PEORIA, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY WHELAN | DMD | 1912095126 |
| DR. HIREN PATEL | — | 1255418174 |
| ERIC EDWARD ELLIS | DMD | 1093971749 |
| MRS. FATIMA PIMENTEL SAIZ | DMD | 1558656223 |
| DR. MORGHAN ELIZABETH TEETERS | D.M.D. | 1649558578 |
| DR. ROBERT DEAN MATTHEWS | DMD | 1942541206 |
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.