Individual provider · Type 1 NPI

Marvin Blane Jackson, DDS

Dentist · Tempe, AZ

NPI number 1265624332 Active

Practice location

6200 S Mcclintock Dr Ste 111
Tempe, AZ 85283-3449

Call (602) 485-1588 Map

Fax (602) 707-9740

Mailing address

230 N Fairgrounds Rd
Price, UT 84501-4205

Other practice locations

  • 8275 N Silverbell Rd, Tucson, AZ 85743-5308 · (435) 637-2100
  • 230 N Fairgrounds Rd, Price, UT 84501-4205 · (435) 637-2100

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X6605138-9921 (UT)
Dentist Primary 122300000XD010196 (AZ)

Dentist: 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 requiremen…

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About NPI 1265624332

Marvin Blane Jackson, DDS's National Provider Identifier is 1265624332, issued on Aug 13, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Tempe, AZ. The record was last updated on Aug 14, 2026.