KYLE R. JACKSON, DDS, LLC
NPI 1710546437
Dentist - Pediatric Dentistry in Beavercreek, OH

Q: What is Kyle R. Jackson, Dds, LLC's NPI number?

The NPI number for Kyle R. Jackson, Dds, LLC is 1710546437. It was assigned to this organization in the NPPES registry on June 6, 2019. The provider is doing business as Keep Smiling Kids.

Q: What is Kyle R. Jackson, Dds, LLC's specialty?

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

Active since June 06, 2019

4090 INDIAN RIPPLE RD UNIT 102, BEAVERCREEK, OH 45440(937) 586-7729(937) 490-9904 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kyle R. Jackson, Dds, Llc NPPES

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

KYLE R. JACKSON, DDS, LLC (NPI 1710546437), doing business as Keep Smiling Kids, is a healthcare organization registered as a pediatric dentistry in Beavercreek, Ohio and active in the NPI registry since June 2019. The organization lists Kyle R. Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1710546437

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameKYLE R. JACKSON, DDS, LLC

Location Address4090 INDIAN RIPPLE RD UNIT 102Beavercreek, OH 45440-3253

Mailing Address273 Regency Ridge DrCenterville, OH 45459-4221 · (937) 586-7729 · Fax (937) 660-4450

Phone(937) 586-7729

Fax(937) 490-9904

Organization SubpartNo

Authorized OfficialKyle R. JacksonOwner · (937) 586-7729

Enumeration DateJune 6, 2019

✔ NPI 1710546437 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 UNIT 102, Beavercreek, OH 45440

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Other Names 1

Doing Business AsKeep Smiling Kids

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 ›

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 Kyle R. Jackson, Dds, LLC's NPI number?

The NPI number for Kyle R. Jackson, Dds, LLC is 1710546437. It was assigned to this organization in the NPPES registry on June 6, 2019. The provider is doing business as Keep Smiling Kids.

Where is Kyle R. Jackson, Dds, LLC located?

Kyle R. Jackson, Dds, LLC is located at 4090 Indian Ripple Rd Unit 102, Beavercreek, OH 45440. The listed phone number is (937) 586-7729.

What is Kyle R. Jackson, Dds, LLC's specialty?

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

What insurance does Kyle R. Jackson, Dds, LLC accept?

Health plans from UnitedHealthcare list Kyle R. Jackson, Dds, LLC 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 Kyle R. Jackson, Dds, LLC was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.