Larry Jackson, D.D.S

NPI 1396186276 · on the registry since 2013

Practice

Address: 14100 N 83rd Ave
Ste 280
Peoria, AZ 85381
Phone: (623) 935-9873
Organisation at this address: West Valley Braces
Ev Pain Specialists
Christine A. Lemon Pllc
Partners In Recovery, Llc
Partners In Recovery, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 1223P0221X
1223P0221X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-04-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona