Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack R Goertzen, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144910464

Dr. Jack R Goertzen, DDS is a Student in an Organized Health Care Education/Training Program in Apache Junction, Arizona. Licensed in Arizona. Registered with an NPI since 2023.

Licensed in
AZ
In the registry since
2023
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Apache Junction, AZ

No coordinates on file. Search this address in Google Maps

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D01211 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1144910464
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 10, 2023
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024

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