Organization Active NPI

TN Dentistry

  • Dentist
  • Tempe, AZ
National Provider Identifier
1902566896
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TN DENTISTRY
Practice address
6200 S McClintock Dr Ste 111
Tempe, AZ 85283-3449
Phone
(602) 485-1588
Fax
(602) 707-9740
NPI assigned
Dec 20, 2021
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Marvin Blane Jackson, DDSNPI 1265624332
Title
Dentist/ Owner
Phone
(602) 485-1588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

6200 S McClintock Dr Ste 111
Tempe, AZ 85283-3449

Mailing address

250 N Fairgrounds Rd Ste 1
Price, UT 84501-4201
Phone (435) 637-2100

National Provider Directory

National Provider Directory

Locations

6200 S McClintock Dr
Ste 111
Tempe, AZ 85283
Phone (480) 664-2270

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1902566896",
    "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",
            "telephone_number": "435-637-2100",
            "fax_number": "435-612-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 S MCCLINTOCK DR STE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833449",
            "telephone_number": "602-485-1588",
            "fax_number": "602-707-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TN DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "BLANE",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "602-485-1588",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.