Individual provider · Type 1 NPI

Kyle R. Jackson, DDS

Pediatric Dentistry · Centerville, OH

NPI number 1730159849 Active

Practice location

273 Regency Ridge Dr
Centerville, OH 45459-4221

Call (937) 586-7729 Map

Fax (937) 660-4450

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X30-01-8976 (OH)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

6 other providers at this address

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About NPI 1730159849

Kyle R. Jackson, DDS's National Provider Identifier is 1730159849, issued on Jan 23, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Centerville, OH. The record was last updated on Dec 8, 2016.