Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mac Roy Jackson III, DMD

Individual provider Dentist · NPI 1063102846

Dr. Mac Roy Jackson III, DMD is a Dentist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2023.

Licensed in
AZ
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

7710 W Lowr Buckeye RD
Phoenix, AZ 85043-3439
Phone: (623) 387-9101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D011973 (AZ)

Record details

NPI number1063102846
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024
Mailing address7646 W Julie Dr, Glendale, AZ 85308-5931

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