Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KYLE R. JACKSON, DDS
ActiveDR. KYLE R. JACKSON, DDS is a Pediatric Dentistry healthcare provider located in CENTERVILLE, Ohio. NPI 1730159849 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · CENTERVILLE, OH
Registration Details
- NPI Number
- 1730159849
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2006 (20.370279975901 yrs)
- Last Updated
- Dec 8, 2016
- License
-
30-01-8976 (OH)
Practice Information
- Address
-
273 REGENCY RIDGE DRCENTERVILLE, OH, 454594221Browse OH providers · Browse ZIP 45459
- Phone
- 9375867729
- Fax
- 9376604450
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in CENTERVILLE, OH
| Name | Credential | NPI |
|---|---|---|
| DR. KASHIF BHATTI | DMD | 1609075126 |
| DR. MEGAN CARY TIGANI | DDS | 1003379272 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.