Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARVIN BLANE JACKSON DDS
NPI 1265624332
Dentist in Tempe, AZ

Q: What is Marvin Jackson's NPI number?

The NPI number for Marvin Jackson is 1265624332. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Q: What is Marvin Jackson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Marvin Jackson was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 13, 2007

6200 S MCCLINTOCK DR STE 111, TEMPE, AZ 85283(602) 485-1588(602) 707-9740 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2026, Oct 6, 2021 (2 updates tracked since 2021).

On this page

About Marvin Blane Jackson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARVIN BLANE JACKSON DDS (NPI 1265624332) is an individual dentist in Tempe, Arizona, licensed in Arizona (D010196) and active in the NPI registry since August 2007. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265624332

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMARVIN BLANE JACKSONCredential: DDS

Location Address6200 S MCCLINTOCK DR STE 111Tempe, AZ 85283-3449

Mailing Address230 N Fairgrounds RdPrice, UT 84501-4205 · (435) 637-2100 · Fax (435) 612-0400

Phone(602) 485-1588

Fax(602) 707-9740

Sole ProprietorYes

Enumeration DateAugust 13, 2007

Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration

NPPES CertifiedAugust 14, 2026

✔ NPI 1265624332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in AZ · D010196✔ Licensed in UT · 6605138-9921

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

6200 S MCCLINTOCK DR STE 111, Tempe, AZ 85283

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Secondary Practice Locations 2

Location 18275 N Silverbell RdTucson, AZ 85743-5308 · Phone (435) 637-2100 · Fax (435) 637-5007

Location 2230 N Fairgrounds RdPrice, UT 84501-4205 · Phone (435) 637-2100 · Fax (435) 637-5007

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASMYNE SAMUELS DDS

Student in an Organized Health Care Education/Training Program

6200 S MCCLINTOCK DR STE 111
TEMPE, AZ 85283

Maricopa County (480) 664-2270

DR. AARON MILLER DDS

Dentist (General Practice)

6200 S MCCLINTOCK DR STE 111
TEMPE, AZ 85283

Maricopa County (480) 664-2270

A PERFECT SMILE LLC

Clinic/Center (Dental)

6200 S MCCLINTOCK DR STE 111
TEMPE, AZ 85283

Maricopa County (602) 485-1588

NEW HORIZON INSTITUTE, INC.

Dentist

6200 S MCCLINTOCK DR STE 111
TEMPE, AZ 85283

Maricopa County (480) 664-2270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marvin Jackson's NPI number?

The NPI number for Marvin Jackson is 1265624332. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Marvin Jackson located?

Marvin Jackson practices at 6200 S Mcclintock Dr Ste 111, Tempe, AZ 85283. The listed phone number is (602) 485-1588.

What is Marvin Jackson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Marvin Jackson accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Alabama and 18 other insurers list Marvin Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marvin Jackson was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.