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

Marvin Blane Jackson, DDS

Individual provider Dentist · NPI 1265624332

Marvin Blane Jackson, DDS is a Dentist in Phoenix, Arizona. Practices as a sole proprietor and works from 3 locations. Licensed in Arizona and Utah.

Licensed in
AZ, UT
In the registry since
2007
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4550 E Bell Rd St 102
Phoenix, AZ 85032-9306
Phone: (602) 485-1588
Fax: (602) 707-9740
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D010196 (AZ)
Dentist Taxonomy 122300000X · Licence 6605138-9921 (UT)

Record details

NPI number1265624332
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 13, 2007
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021
Mailing address230 N Fairgrounds Rd, Price, UT 84501-4205

Other providers in Phoenix