OrganizationActive
Good Life Dental
NPI 1104539303 · Dental Clinic/Center · Queen Creek, AZ
Provider details
- NPI number
- 1104539303
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marvin Jackson, Owner/Dentist(858) 705-5958
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 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
20061 E Rittenhouse Rd
Queen Creek, AZ 85142-9715
Phone: (435) 637-2100
Street-level locationGet directions
Mailing address
250 N Fairgrounds Rd Ste 1
Price, UT 84501-4201
Registry dates
- Enumerated
- 2023-01-03
- Last updated
- 2026-04-07
- Certified
- 2026-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.