Ryne Jackson, DMD, MSD - Dentist in Surprise, AZ

Ryne Jackson, DMD, MSD is a Dentist - Endodontics based in Surprise, Arizona. Ryne Jackson is licensed to practice in Arizona (license number D012024) and his current practice location is 15294 W Brookside Ln Ste 100, Surprise, Arizona. He can be reached at his office (for appointments etc.) via phone at (623) 376-7400.

NPI number for Ryne Jackson is 1619538436 and his current mailing address is 24125 N 160th Ave, Surprise, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619538436.

Contact Information

Ryne Jackson, DMD, MSD
15294 W Brookside Ln Ste 100,
Surprise, AZ 85374-2446
(623) 376-7400
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameRyne Jackson
GenderMale
SpecialityDentist - Endodontics
Location15294 W Brookside Ln Ste 100, Surprise, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619538436
  • Provider Enumeration Date: 06/24/2019
  • Last Update Date: 07/14/2025

Medical Identifiers

Medical identifiers for Ryne Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619538436NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 7005 (Louisiana)Secondary
1223E0200XDentist - Endodontics D012024 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryne Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ryne Jackson, DMD, MSD
24125 N 160th Ave,
Surprise, AZ 85387-1629

Ph: (480) 353-6476
Ryne Jackson, DMD, MSD
15294 W Brookside Ln Ste 100,
Surprise, AZ 85374-2446

Ph: (623) 376-7400

Reviews and Comments


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