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Good Life Dental

Dental Clinic/Center in Queen Creek, AZ · enumerated 2023 · authorized official Marvin Jackson, Owner/Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104539303

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Registry record

Entity type Organization (Type 2)
Legal business name Good Life Dental
Practice address 20061 E Rittenhouse Rd, Queen Creek, AZ, 85142
Phone (858) 705-5958
Enumeration date Jan 3, 2023
Last updated in NPPES Jun 9, 2026

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Marvin Jackson
Title Owner/Dentist
Phone (858) 705-5958

Other identifiers

Identifier Type State Issuer
1265624332 Other - NPPES

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Good Life Dental?
NPPES lists Marvin Jackson (Owner/Dentist) as the authorized official for this organization.
What is the NPI number for Good Life Dental?
The NPI for Good Life Dental is 1104539303, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-09.