Organization
A PERFECT SMILE LLC
Active
Other names
A Perfect Smile LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN B JACKSON DDS (OWNER)
(435) 637-2100
Entity
Organization
Contact information
Practice address
6200 S MCCLINTOCK DR STE 111, TEMPE, AZ 85283-3449
(602) 485-1588
Mailing address
6200 S MCCLINTOCK DR STE 111, TEMPE, AZ 85283-3449
(602) 485-1588
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
586868
—
AZ
Enumeration date
11/10/2020
Last updated
10/01/2025
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