1. Home
  2. Directory
  3. Ohio
  4. Dayton
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

BEAVERCREEK OH - KYLE JACKSON DDS INC
NPI 1184577660
Dentist - Pediatric Dentistry in Dayton, OH

Active since February 16, 2026
4090 INDIAN RIPPLE RD STE 102, DAYTON, OH 45440(937) 986-1886 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beavercreek Oh - Kyle Jackson Dds Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAVERCREEK OH - KYLE JACKSON DDS INC (NPI 1184577660) is a healthcare organization registered as a pediatric dentistry in Dayton, Ohio and active in the NPI registry since February 2026. The organization lists Christina Carlson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1184577660
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBEAVERCREEK OH - KYLE JACKSON DDS INC
Location Address4090 INDIAN RIPPLE RD STE 102Dayton, OH 45440-3292
Mailing Address4090 Indian Ripple Rd Ste 102Dayton, OH 45440-3292 · (937) 986-1886
Phone(937) 986-1886
Organization SubpartNo
Authorized OfficialChristina CarlsonCfo · (720) 603-4800
Enumeration DateFebruary 16, 2026
Last NPPES UpdateJuly 24, 2026
NPPES CertifiedJuly 24, 2026
✔ NPI 1184577660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

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.

4090 INDIAN RIPPLE RD STE 102, Dayton, OH 45440
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beavercreek Oh - Kyle Jackson Dds Inc's NPI number?

The NPI number for Beavercreek Oh - Kyle Jackson Dds Inc is 1184577660. It was assigned to this organization in the NPPES registry on February 16, 2026.

Where is Beavercreek Oh - Kyle Jackson Dds Inc located?

Beavercreek Oh - Kyle Jackson Dds Inc is located at 4090 Indian Ripple Rd Ste 102, Dayton, OH 45440. The listed phone number is (937) 986-1886.

What is Beavercreek Oh - Kyle Jackson Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Beavercreek Oh - Kyle Jackson Dds Inc was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.