Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013135086 Individual Practitioner Male Practitioner

Roger Jackson

Dentist - General Practice • Scottsdale, AZ

Professional Overview & Biography Verified Profile Summary

Roger Jackson is a registered healthcare professional specializing in Dentist - General Practice in Scottsdale, AZ. Practice services are available at 11144 N FRANK LLOYD WRIGHT BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11144 N Frank Lloyd Wright Blvd
Ste E8

Scottsdale, AZ 852592646

Telephone 4808609700
Associated Practice Facility / Clinic
🏢 Tv Orthodontics, P.c. Facility NPI 1851438501

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Scottsdale, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
216 Specialists

Practicing in Scottsdale, AZ (2600 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ 4758

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Muneeza Khan

Dental Hygienist

NPI 1821219981

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active February 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2018

Registered at 11144 N FRANK LLOYD WRIGHT BLVD, STE E8, SCOTTSDALE, AZ 852592646 (Tel: 4808609700)

📍
Updated Business Mailing Address February 06, 2018

Registered at 11144 N FRANK LLOYD WRIGHT BLVD, STE E8, SCOTTSDALE, AZ 852592646 (Tel: 4808609700)

👤
Provider Name / Credentials Updated February 06, 2018

Recorded as ROGER JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2018

Dentist (License #4758 in AZ)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11144 N FRANK LLOYD WRIGHT BLVD, STE E8, SCOTTSDALE, AZ 852592646 (Tel: 4808609700)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11144 N FRANK LLOYD WRIGHT BLVD, STE E8, SCOTTSDALE, AZ 852592646 (Tel: 4808609700)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROGER JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #4758 in AZ)

🟢
Initial NPI Registration & Enumeration April 23, 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: 1013135086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2007
Last Update: February 06, 2018
Sole Proprietor: No

Mailing Address

11144 N Frank Lloyd Wright Blvd, Ste E8

Scottsdale, AZ 852592646

Phone: 4808609700

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.