Good Life Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GOOD LIFE DENTAL

Practice address

20061 E Rittenhouse Rd
Queen Creek, AZ 85142-9715

Phone

(858) 705-5958

NPI assigned

Jan 3, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marvin Blane Jackson, DDS

Title

Owner/Dentist

Phone

(858) 705-5958

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1104539303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N FAIRGROUNDS RD STE 1",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20061 E RITTENHOUSE RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429715",
            "telephone_number": "858-705-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "BLANE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "858-705-5958",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1265624332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Gomez
• Veronica Gonzalez
• Good Health Medical, PLLC
• Good Health Medical, PLLC
• Good Health Medical, PLLC
• Zachary Goodenberger, RBT
• Kassandra Marie Gordon, RDH
• Tina Marie Gordon
• Evan McFarlin Goreham
• Jade Faith Gottschalk, DDS

• Dental Clinic/Center in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.