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SCOTT ROBERT JACKSON DDS PC
NPI 1932294741
Dentist - General Practice in Peoria, AZ

Active since October 04, 2006
13660 N 94TH DR, SUITE A1 PLAZA DEL RIO MEDICAL CENTER, PEORIA, AZ 85381(623) 933-0550(623) 933-2722 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott Robert Jackson Dds Pc NPPES

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

SCOTT ROBERT JACKSON DDS PC (NPI 1932294741) is a healthcare organization registered as a general practice in Peoria, Arizona and active in the NPI registry since October 2006. The organization lists Scott Robert Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1932294741
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSCOTT ROBERT JACKSON DDS PC
Location Address13660 N 94TH DR, SUITE A1 PLAZA DEL RIO MEDICAL CENTERPeoria, AZ 85381-4836
Mailing Address13660 N 94th Dr, Suite #a1Peoria, AZ 85381-4836 · (623) 933-0550 · Fax (623) 933-2722
Phone(623) 933-0550
Fax(623) 933-2722
Organization SubpartNo
Authorized OfficialScott Robert JacksonPresident · (623) 933-0550
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1932294741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · 2532
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
13660 N 94TH DR, Peoria, AZ 85381
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

JEFFREY C KLEIMAN DMD PC
Clinic/Center (Dental)
13660 N 94TH DR, E-3
PEORIA, AZ 85381
Maricopa County (623) 974-4799
JC DENTAL DREAM CONSULTING LLC
Clinic/Center (Dental)
13660 N 94TH DR
PEORIA, AZ 85381
Maricopa County (623) 974-4799
KEITH THOMAS BANGART DPM
Podiatrist
13660 N 94TH DR, #F1
PEORIA, AZ 85381
Maricopa County (623) 974-0522
PACIFIC FOOTWEAR COMPANY, INC.
Durable Medical Equipment & Medical Supplies (Customized Equipment)
13660 N 94TH DR, SUITE F-2
PEORIA, AZ 85381
Maricopa County (623) 302-9396
SUNSHINE HEALTH CARE CENTER
Naturopath
13660 N 94TH DR, SUITE C4
PEORIA, AZ 85381
Maricopa County (623) 266-1722
MARGARET A. WITHROW, DPM, PC
Podiatrist (Foot & Ankle Surgery)
13660 N 94TH DR, STE A-3
PEORIA, AZ 85381
Maricopa County (623) 933-4645
J BARTON RIPPERGER DPM
Podiatrist
13660 N 94TH DR, SUITE E1
PEORIA, AZ 85381
Maricopa County (623) 933-5787
GALAXY ANESTHESIA SERVICES, LLC
Anesthesiology
13660 N 94TH DR, D-1
PEORIA, AZ 85381
Maricopa County (623) 230-2912

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 Scott Robert Jackson Dds PC's NPI number?

The NPI number for Scott Robert Jackson Dds PC is 1932294741. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Scott Robert Jackson Dds PC located?

Scott Robert Jackson Dds PC is located at 13660 N 94th Dr Suite A1 Plaza Del Rio Medical Center, Peoria, AZ 85381. The listed phone number is (623) 933-0550.

What is Scott Robert Jackson Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Scott Robert Jackson Dds PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.