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

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: July 19, 2026.

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

What is KYLE R. JACKSON, DDS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1710546437, enumerated as an "organization" on June 06, 2019.

Where is the provider located?

The provider is located at 4090 INDIAN RIPPLE RD UNIT 102 BEAVERCREEK, OH 45440 and the phone number is (937) 586-7729.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

What insurance does KYLE R. JACKSON, DDS, LLC accept?

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.