Marvin Blane Jackson is a Phoenix, Arizona based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Marvin Blane Jackson is D010196 for Dentistry in Arizona. His current practice location is 4550 E Bell Rd. St. 102, Phoenix. Patients can reach him at 602-485-1588.
Marvin Blane Jackson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Marvin Blane Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Marvin Blane Jackson
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
4550 E Bell Rd. St. 102, Phoenix, Arizona, 85032-9306
Phone:
602-485-1588
Fax:
602-707-9740
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1265624332
NPI Enumeration Date:
13 Aug, 2007
NPI Last Update On:
06 Oct, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marvin Blane Jackson are as mentioned below.
License Number
Specialization
State
Status
D010196
Dentistry
Arizona
Primary
6605138-9921
Dentistry
Utah
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
230 N Fairgrounds Rd, Price, Utah
Zip:
84501-4205
Phone Number:
435-637-2100
Fax Number:
435-637-5007
Patients can reach Marvin Blane Jackson at 4550 E Bell Rd. St. 102, Phoenix, Arizona or can call to book an appointment on 602-485-1588. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.