Search › Arizona › 1223E0200X
Ryne Jackson, DMD, MSD
NPI 1619538436 · on the registry since 2019 · sole proprietor
Practice
- Address
- 15294 W Brookside Ln Ste 100
Surprise, AZ 85374 - Phone
- (623) 376-7400
- Organisation at this address
- Untva Pllc
Surprise Endo Pllc
Surprise EndodonticsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Also registered as
- 122300000X
- Licence states on file
- LA, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-14
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