Kyle R. Jackson, DDS
Pediatric Dentistry · Centerville, OH
Practice location
273 Regency Ridge DrCenterville, OH 45459-4221
- Phone
- (937) 586-7729
- Fax
- (937) 660-4450
NPI record
- NPI
- 1730159849
- Entity type
- Individual (Type 1)
- Enumeration date
- January 23, 2006
- Last updated
- December 8, 2016
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X |
30-01-8976 | OH |
About Dr. Jackson
Kyle R. Jackson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 273 Regency Ridge Dr, Centerville, OH 45459-4221. The NPI number 1730159849 was assigned on January 23, 2006 and the record was last updated on December 8, 2016.
Dr. Jackson lists a license in the registry: #30-01-8976 (OH) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kyle R. Jackson, DDS?
The NPI number is 1730159849.
What is the phone number of Dr. Jackson?
The phone number listed for the practice location is (937) 586-7729.
Where is Dr. Jackson located?
273 Regency Ridge Dr, Centerville, OH 45459-4221.
What is the taxonomy code for Dr. Jackson?
The primary taxonomy code is 1223P0221X – Pediatric Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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