Larry Tyler Jackson, DDS
- Affiliated sites
- 1
- State license
- 1
- Year NPI issued
- 2013
- Practice locations
- 2
- Practice address
- 14100 N 83rd Ave Ste 280 Suite 280, Peoria, AZ 85381-5660
- Practice phone
- Call (623) 935-9873
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
West Valley Pediatric Dentistry & Orthodontics
Physician office · Peoria, Arizona
Find Larry Jackson's professional email, personal email and mobile number
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Larry Tyler Jackson is a pediatric dentist in Mesa, Arizona
Larry Jackson practices at West Valley Pediatric Dentistry & Orthodontics in Peoria, Arizona.
Larry Jackson's NPI, 1396186276, was assigned on July 8, 2013. Larry Jackson holds Arizona license D009113.
- NPI
- 1396186276NPI Registry (opens in a new tab)
- NPI enumeration date
- July 8, 2013
- NPI status
- Active
- Practice phone
- (623) 935-9873
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Larry Tyler Jackson practices in Peoria and Mesa
Larry Jackson's primary practice is West Valley Pediatric Dentistry & Orthodontics, at 14100 N 83rd Ave Ste 280 Suite 280, Peoria, AZ 85381-5660. The practice phone is (623) 935-9873. The NPI Registry lists Larry Jackson's practice address as 815 E University Dr, Mesa, AZ 85203.
- West Valley Pediatric Dentistry & OrthodonticsPrimary14100 N 83rd Ave Ste 280 Suite 280, Peoria, AZ 85381-5660Phone(623) 935-9873
- NPI Registry address815 E University Dr, Mesa, AZ 85203 · Maricopa County
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data
Larry Tyler Jackson is affiliated with 1 site of care
Larry Jackson's primary practice is West Valley Pediatric Dentistry & Orthodontics in Peoria, Arizona.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Larry Tyler Jackson's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Larry Jackson practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| West Valley Pediatric Dentistry & Orthodontics | Available with a free account |
Source: Dmand AI Technology Install Data
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Larry Tyler Jackson is one of 139 pediatric dentists in Arizona
Pediatric dentistry is Larry Jackson's primary specialty in the NPI Registry, under taxonomy code 1223P0221X. Larry Jackson is licensed in Arizona.
Specialties and state licenses
- Pediatric dentist, ArizonaPrimary
Pediatric dentists near Larry Jackson
Counts of pediatric dentists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Larry Tyler Jackson's patients have a median age of 7
Across all payers, Dmand AI patient panel data puts Larry Jackson's median patient age at 7, with 100% women.
Larry Jackson's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 7
Patient panel by sex, all payers
- Women100%
- Men0%
Source: Dmand AI Patient Panel Data
Sources for Larry Tyler Jackson's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Larry Tyler Jackson
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Larry Tyler Jackson's NPI number?
Larry Tyler Jackson's NPI number is 1396186276. It was assigned on July 8, 2013, and it is active in the NPI Registry.
What does Larry Tyler Jackson specialize in?
Larry Tyler Jackson is a pediatric dentist in Mesa, Arizona. The primary specialty in the NPI Registry is Pediatric Dentist (taxonomy code 1223P0221X).
Where does Larry Tyler Jackson practice?
Larry Jackson practices at 14100 N 83rd Ave Ste 280 Suite 280, Peoria, AZ 85381-5660. Larry Jackson also practices at 815 E University Dr, Mesa, AZ 85203. Larry Jackson's primary practice is West Valley Pediatric Dentistry & Orthodontics in Peoria, Arizona.
What is Larry Tyler Jackson's office phone number?
The practice phone on file for Larry Jackson is (623) 935-9873.
What is Larry Tyler Jackson's medical license number?
Larry Jackson holds Arizona license D009113.
How long has Larry Tyler Jackson been practicing?
Larry Jackson's NPI was assigned in 2013.
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