Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063102846 Individual Practitioner Male Practitioner

Dr. Mac Roy Jackson , DMD

Dentist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Mac Jackson, DMD is a registered healthcare professional specializing in Dentist in Phoenix, AZ. Practice services are available at 7710 W LOWER BUCKEYE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7710 W Lower Buckeye Rd

Phoenix, AZ 850433439

Telephone 6233879101
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
412 Specialists

Practicing in Phoenix, AZ (1999 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-11
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ D011973

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Massia Atalla

Dentist - General Practice

NPI 1952236549

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 11, 2024

Registered at 7710 W LOWER BUCKEYE RD, PHOENIX, AZ 850433439 (Tel: 6233879101)

📍
Updated Business Mailing Address April 11, 2024

Registered at 7646 W JULIE DR, GLENDALE, AZ 853085931 (Tel: 5414909126)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2024

Dentist (License #D011973 in AZ)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2023

Dentist (License #39576 in TX)

NPI Profile Active May 15, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2023

Registered at 6102 SCOTT ST, HOUSTON, TX 770212665 (Tel: 2815190725)

📍
Updated Business Mailing Address May 15, 2023

Registered at 9758 SEDONA SHRINE AVE, LAS VEGAS, NV 891481679 (Tel: 5414909126)

👤
Provider Name / Credentials Updated May 15, 2023

Recorded as MAC JACKSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 15, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mac Jackson. Be the first to share your experience!

Sign in to leave a review for Dr. Mac Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1063102846
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2023
Last Update: April 11, 2024
Sole Proprietor: No

Mailing Address

7646 W Julie Dr

Glendale, AZ 853085931

Phone: 5414909126

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.