Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Scott Robert Jackson DDS PC

Organization General Practice Dentistry · NPI 1932294741

Scott Robert Jackson DDS PC provides General Practice Dentistry in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13660 N 94th Dr Ste A1 Plaza Del Rio Medical Center
Peoria, AZ 85381-4836
Phone: (623) 933-0550
Fax: (623) 933-2722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2532 (AZ)

Record details

NPI number1932294741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Jackson — President · (623) 933-0550
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address13660 N 94th Dr, Suite #A1, Peoria, AZ 85381-4836

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