Whalio Doctors

NPI 1013135086

Roger Jackson

Practitioner General Practice Dentistry Scottsdale, AZ

Practice location

Address
11144 N Frank Lloyd Wright Blvd STE E8, Scottsdale, AZ 85259-2646
Phone
(480) 860-9700

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 4758 (AZ)

Registry record

NPI
1013135086
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Apr 2007
Record last updated
6 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.