Roger Jackson

NPI #1013135086 in Scottsdale, Arizona

Provider Information

NPI Number: 1013135086
Entity Type: Individual
Name: Roger Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 23, 2007
Last Updated: Feb 6, 2018

Practice Location

Address: 11144 N FRANK LLOYD WRIGHT BLVD
Address 2: STE E8
City: Scottsdale
State: Arizona
ZIP Code: 85259-2646
Phone: (480) 860-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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