Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYNE JACKSON, DMD, MSD
Active Sole ProprietorRYNE JACKSON, DMD, MSD is a Endodontics healthcare provider located in SURPRISE, Arizona. NPI 1619538436 is currently active in the NPPES registry. Verify at CMS.
Endodontics · SURPRISE, AZ
Registration Details
- NPI Number
- 1619538436
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2019 (7.1319114558702 yrs)
- Last Updated
- Jul 14, 2025
- Licenses
-
7005 (LA)D012024 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15294 W BROOKSIDE LN STE 100SURPRISE, AZ, 853742446Browse AZ providers · Browse ZIP 85374
- Phone
- 6233767400
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Endodontics
Other Endodontics Providers in SURPRISE, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. JASON BOOTH | D.M.D. | 1659393023 |
| DR. FRANCISCO JAVIER CASTANO | D.M.D. | 1619000841 |
| DR. ERIK JOHN FOISY | D.M.D | 1548678113 |
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.