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Dr. Marvin Blane Jackson , DDS

Dentist • Phoenix, AZ

Active NPI 1265624332 Individual Practitioner Male Practitioner
Practice location in NPPES

4550 E Bell Rd. St. 102
Phoenix, AZ 850329306

Call 6024851588 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4550 E Bell Rd. St. 102

Phoenix, AZ 850329306

Telephone 6024851588
Fax 6027079740
Organization at the Same NPPES Address or Phone
A Perfect Smile Llc Facility NPI 1760084255

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Price, UT; Tucson, AZ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

42 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$233 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2023

All general payments: $27.53 across 2 records.

By nature of payment

  • Food and Beverage: $13.85 across 1 record.
  • Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program: $13.68 across 1 record.

Reporting-company totals

  • Dentsply Sirona Inc: $13.85 across 1 record.
  • Straumann USA LLC: $13.68 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Phoenix and Arizona

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Dentist in Phoenix, AZ (2024, 186 clinicians with data). Median for this group: 40. Middle half: 20 to 91.

Close to the middle for clinicians listed under Dentist in Arizona (2024, 937 clinicians with data). Median for this group: 42. Middle half: 22 to 84.

Part D drug cost

A higher Part D drug cost than 60% of clinicians listed under Dentist in Phoenix, AZ (2024, 186 clinicians with data). Median for this group: $136. Middle half: $64 to $329.

A higher Part D drug cost than 65% of clinicians listed under Dentist in Arizona (2024, 937 clinicians with data). Median for this group: $136. Middle half: $67 to $330.

399 active clinicians are listed under Dentist with a practice address in Phoenix, AZ (1,929 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

0% of these 399 clinicians have the CMS telehealth indicator.

0.5% of these 399 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $27.53.

Manufacturer Payment Nature Product Type Amount ($)
Dentsply Sirona Inc
Food and Beverage
In-kind items and services
Cerec General $13.85
Straumann USA LLC
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
— General $13.68

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 26 247 $127.06 22
Chlorhexidine Gluconate Chlorhexidine Gluconate 16 284 $105.85 13

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-10-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES AZ D010196

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES UT 6605138-9921

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Secondary Practice Locations

8275 N Silverbell Rd

Tucson, AZ 857435308

Phone: 4356372100

230 N Fairgrounds Rd

Price, UT 845014205

Phone: 4356372100

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location October 06, 2021

Registered at 4550 E BELL RD. ST. 102, PHOENIX, AZ 850329306 (Tel: 6024851588)

📍
Updated Business Mailing Address October 06, 2021

Registered at 230 N FAIRGROUNDS RD, PRICE, UT 845014205 (Tel: 4356372100)

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NPI Profile Active April 11, 2011

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) April 11, 2011

Registered at 690 W PRICE RIVER DR, PRICE, UT 845012839 (Tel: 4356372100)

📍
Business Mailing Address (Initial Record) April 11, 2011

Registered at 690 W PRICE RIVER DR, PRICE, UT 845012839 (Tel: 4356372100)

👤
Provider Name / Credentials (Initial Record) April 11, 2011

Recorded as MARVIN JACKSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2011

Dentist (license number reported to NPPES: UT 6605138-9921)

🟢
Initial NPI Registration & Enumeration August 13, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265624332
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2007
Last Update: October 06, 2021
Sole Proprietor: Yes

Other Dentists in Phoenix

All Dentists in Phoenix

Mailing Address

230 N Fairgrounds Rd

Price, UT 845014205

Phone: 4356372100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.