Individual provider · Type 1 NPI

Ryne Jackson, DMD, MSD

Endodontics · Surprise, AZ

NPI number 1619538436 Active

Practice location

15294 W Brookside Ln Ste 100
Surprise, AZ 85374-2446

Mailing address

24125 N 160th Ave
Surprise, AZ 85387-1629

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X7005 (LA)
Endodontics Primary 1223E0200XD012024 (AZ)

Endodontics: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

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About NPI 1619538436

Ryne Jackson, DMD, MSD's National Provider Identifier is 1619538436, issued on Jun 24, 2019. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in Surprise, AZ. The record was last updated on Jul 14, 2025.