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

Beavercreek Oh - Kyle Jackson DDS Inc

Organization Pediatric Dentistry · NPI 1184577660

Beavercreek Oh - Kyle Jackson DDS Inc is a Pediatric Dentistry in Dayton, Ohio. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4090 Indian Ripple Rd Ste 102
Dayton, OH 45440-3292
Phone: (937) 986-1886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1184577660
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christina Carlson — Cfo · (720) 603-4800
NPI enumeratedFebruary 16, 2026
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address4090 Indian Ripple Rd Ste 102, Dayton, OH 45440-3292

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