Individual provider · Type 1 NPI
Larry Tyler Jackson, DDS
Pediatric Dentistry · Peoria, AZ
NPI number
1396186276
Active
Practice location
14100 N 83rd Ave, Ste 280
Peoria, AZ 85381-5658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D009113 (AZ) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4 other providers at this address
- Partners In Recovery, LLCAdult Mental Health Clinic/Center Peoria, AZ NPI 1124252127
- Jacquelyn Rene Bybee, RNPPsychiatric/Mental Health Nurse Practitioner Peoria, AZ NPI 1447907019
- Juan Ramon Herrera, APRN PMHNPPsychiatric/Mental Health Nurse Practitioner Peoria, AZ NPI 1821738170
- Taran Goodballet, PharmDPsychiatric Pharmacist Peoria, AZ NPI 1831859107
Other pediatric dentistry providers in Peoria
- Eric Edward Ellis, DMDPediatric Dentistry Peoria, AZ NPI 1093971749
- Damon DuckworthPediatric Dentistry Peoria, AZ NPI 1205227618
- Hiren PatelPediatric Dentistry Peoria, AZ NPI 1255418174
- Anna C. Green, DDSPediatric Dentistry Peoria, AZ NPI 1518551704
- Fatima Pimentel Saiz, DMDPediatric Dentistry Peoria, AZ NPI 1558656223
- Morghan Elizabeth Teeters, DMDPediatric Dentistry Peoria, AZ NPI 1649558578
- Gregory Whelan, DMDPediatric Dentistry Peoria, AZ NPI 1912095126
- Robert Dean Matthews, DMDPediatric Dentistry Peoria, AZ NPI 1942541206
About NPI 1396186276
Larry Tyler Jackson, DDS's National Provider Identifier is 1396186276, issued on Jul 8, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Peoria, AZ. The record was last updated on Apr 7, 2017.