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CENTERILLE PEDIATRIC DENTISTRY, KYLE R JACKSON, DDS, INC
NPI 1386073112
Dentist - Pediatric Dentistry in Centerville, OH

Active since November 02, 2013
273 REGENCY RIDGE DR, CENTERVILLE, OH 45459(937) 586-7729(937) 660-4450 Get Directions Write a Review

NPPES record last updated: August 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Centerille Pediatric Dentistry, Kyle R Jackson, Dds, Inc NPPES

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

CENTERILLE PEDIATRIC DENTISTRY, KYLE R JACKSON, DDS, INC (NPI 1386073112) is a healthcare organization registered as a pediatric dentistry in Centerville, Ohio and active in the NPI registry since November 2013. The organization lists Kyle R. Jackson, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1386073112
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCENTERILLE PEDIATRIC DENTISTRY, KYLE R JACKSON, DDS, INC
Location Address273 REGENCY RIDGE DRCenterville, OH 45459-4221
Mailing Address273 Regency Ridge DrCenterville, OH 45459-4221 · (937) 586-7729 · Fax (937) 660-4450
Phone(937) 586-7729
Fax(937) 660-4450
Organization SubpartNo
Authorized OfficialKyle R. JacksonDentist/owner · (937) 586-7729
Enumeration DateNovember 2, 2013
Last NPPES UpdateAugust 11, 2016
✔ NPI 1386073112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in OH · 30018976
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.

273 REGENCY RIDGE DR, Centerville, OH 45459
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MEGAN CARY TIGANI DDS
Dentist (Pediatric Dentistry)
273 REGENCY RIDGE DR
CENTERVILLE, OH 45459
Montgomery County (937) 586-7729
DR. BARBARA BAUGHMAN CORTEZ D.O.
Dermatology
273 REGENCY RIDGE DR
CENTERVILLE, OH 45459
Montgomery County (937) 433-2130
DR. KASHIF BHATTI DMD
Dentist (Pediatric Dentistry)
273 REGENCY RIDGE DR
CENTERVILLE, OH 45459
Montgomery County (937) 582-0430
ADVENTURE PEDIATRIC DENTISTRY OF CENTERVILLE - DRS. JACKSON AND MASON
Dentist (Pediatric Dentistry)
273 REGENCY RIDGE DR
CENTERVILLE, OH 45459
Montgomery County (937) 586-7729
CENTERVILLE OH - KYLE JACKSON DDS INC
Dentist (Pediatric Dentistry)
273 REGENCY RIDGE DR
CENTERVILLE, OH 45459
Montgomery County (937) 586-7729
DR. KYLE R. JACKSON DDS
Dentist (Pediatric Dentistry)
273 REGENCY RIDGE DR
CENTERVILLE, OH 45459
Montgomery County (937) 586-7729

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 Centerille Pediatric Dentistry, Kyle R Jackson, Dds, Inc's NPI number?

The NPI number for Centerille Pediatric Dentistry, Kyle R Jackson, Dds, Inc is 1386073112. It was assigned to this organization in the NPPES registry on November 2, 2013.

Where is Centerille Pediatric Dentistry, Kyle R Jackson, Dds, Inc located?

Centerille Pediatric Dentistry, Kyle R Jackson, Dds, Inc is located at 273 Regency Ridge Dr, Centerville, OH 45459. The listed phone number is (937) 586-7729.

What is Centerille Pediatric Dentistry, Kyle R Jackson, Dds, Inc's specialty?

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

What insurance does Centerille Pediatric Dentistry, Kyle R Jackson, Dds, Inc accept?

Health plans from UnitedHealthcare list Centerille Pediatric Dentistry, Kyle R Jackson, Dds, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Centerille Pediatric Dentistry, Kyle R Jackson, Dds, Inc was last updated on August 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.