Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265624332 Individual Practitioner Male Practitioner

Dr. Marvin Blane Jackson , DDS

Dentist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Marvin Jackson, DDS is a registered healthcare professional specializing in Dentist in Phoenix, AZ. Practice services are available at 4550 E BELL RD. ST. 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4550 E Bell Rd. St. 102

Phoenix, AZ 850329306

Telephone 6024851588
Fax 6027079740
Associated Practice Facility / Clinic
🏢 Thuy B Ngo Dmd Pc Facility NPI 1780665018

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: 2021-10-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ D010196

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License UT 6605138-9921

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.

Secondary Practice Locations

8275 N Silverbell Rd

Tucson, AZ 857435308

Phone: 4356372100

230 N Fairgrounds Rd

Price, UT 845014205

Phone: 4356372100

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Thuy Ngo , DMD

Dentist - General Practice

NPI 1003210881

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 06, 2021

Registered at 4550 E BELL RD. ST. 102, PHOENIX, AZ 850329306 (Tel: 6024851588)

📍
Updated Business Mailing Address October 06, 2021

Registered at 230 N FAIRGROUNDS RD, PRICE, UT 845014205 (Tel: 4356372100)

NPI Profile Active April 11, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2011

Registered at 690 W PRICE RIVER DR, PRICE, UT 845012839 (Tel: 4356372100)

📍
Updated Business Mailing Address April 11, 2011

Registered at 690 W PRICE RIVER DR, PRICE, UT 845012839 (Tel: 4356372100)

👤
Provider Name / Credentials Updated April 11, 2011

Recorded as MARVIN JACKSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2011

Dentist (License #6605138-9921 in UT)

🟢
Initial NPI Registration & Enumeration August 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265624332
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2007
Last Update: October 06, 2021
Sole Proprietor: Yes

Mailing Address

230 N Fairgrounds Rd

Price, UT 845014205

Phone: 4356372100

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.