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

Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc

Organization Pediatric Dentistry · NPI 1386073112

Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc is a Pediatric Dentistry in Centerville, Ohio. Licensed in Ohio. Registered with an NPI since 2013.

Licensed in
OH
In the registry since
2013
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

273 Regency Ridge Dr
Centerville, OH 45459-4221
Phone: (937) 586-7729
Fax: (937) 660-4450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 30018976 (OH)

Record details

NPI number1386073112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Jackson — Dentist/Owner · (937) 586-7729
NPI enumeratedNovember 2, 2013
Last updated in NPPESAugust 11, 2016
Mailing address273 Regency Ridge Dr, Centerville, OH 45459-4221

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