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Mac Jackson, DMD
NPI 1063102846 · Dentist · Phoenix, AZ
Mac Jackson, DMD is a Dentist provider in Phoenix, AZ (NPI 1063102846).
Provider details
- NPI number
- 1063102846
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D011973 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7710 W Lower Buckeye Rd
Phoenix, AZ 85043-3439
Phone: (623) 387-9101
Approximate (ZIP-level) locationGet directions
Mailing address
7646 W Julie Dr
Glendale, AZ 85308-5931
Registry dates
- Enumerated
- 2023-05-15
- Last updated
- 2024-04-11
- Certified
- 2024-04-11
Frequently asked questions
- What is Mac Jackson's NPI number?
- Mac Jackson's National Provider Identifier (NPI) is 1063102846, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mac Jackson's specialty?
- Mac Jackson is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Mac Jackson located?
- Mac Jackson's practice location on file with NPPES is 7710 W Lower Buckeye Rd, Phoenix, AZ 85043-3439.
- What is Mac Jackson's phone number?
- The practice phone number listed in the NPPES registry for Mac Jackson is (623) 387-9101.
- Is Mac Jackson's NPI active?
- Yes — Mac Jackson's NPI (1063102846) is active in the NPPES registry as of the last update on 2024-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.