Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE R. JACKSON, DDS, LLC
Active OrganizationKYLE R. JACKSON, DDS, LLC is a Pediatric Dentistry organization located in BEAVERCREEK, Ohio. NPI 1710546437 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · BEAVERCREEK, OH
Registration Details
- NPI Number
- 1710546437
- Provider Type
- Organization
- NPI Issued
- Jun 6, 2019 (7.2228122747047 yrs)
- Last Updated
- Jun 6, 2019
Practice Information
- Address
-
4090 INDIAN RIPPLE RD UNIT 102BEAVERCREEK, OH, 454403253Browse OH providers · Browse ZIP 45440
- Phone
- 9375867729
- Fax
- 9374909904
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Organizations in BEAVERCREEK, OH
| Name | NPI |
|---|---|
| GORDON W. WOMACK DDS INC | 1922585694 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.