Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CENTERVILLE OH - KYLE JACKSON DDS INC
NPI 1730032210
Dentist - Pediatric Dentistry in Centerville, OH

Active since February 16, 2026
273 REGENCY RIDGE DR, CENTERVILLE, OH 45459(937) 586-7729 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centerville Oh - Kyle Jackson Dds Inc NPPES

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

CENTERVILLE OH - KYLE JACKSON DDS INC (NPI 1730032210) is a healthcare organization registered as a pediatric dentistry in Centerville, Ohio and active in the NPI registry since February 2026. The organization lists Christina Carlson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1730032210
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCENTERVILLE OH - KYLE JACKSON DDS INC
Location Address273 REGENCY RIDGE DRCenterville, OH 45459-4221
Mailing Address273 Regency Ridge DrCenterville, OH 45459-4221 · (937) 586-7729
Organization SubpartNo
Authorized OfficialChristina CarlsonCfo · (720) 603-4800
Enumeration DateFebruary 16, 2026
Last NPPES UpdateJuly 24, 2026
NPPES CertifiedJuly 24, 2026
NPI 1730032210 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.
273 REGENCY RIDGE DR, Centerville, OH 45459

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

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.

Dentist (Pediatric Dentistry)
273 REGENCY RIDGE DR
CENTERVILLE, OH 45459
Dermatology
273 REGENCY RIDGE DR
CENTERVILLE, OH 45459
Dentist (Pediatric Dentistry)
273 REGENCY RIDGE DR
CENTERVILLE, OH 45459
Dentist (Pediatric Dentistry)
273 REGENCY RIDGE DR
CENTERVILLE, OH 45459
Dentist (Pediatric Dentistry)
273 REGENCY RIDGE DR
CENTERVILLE, OH 45459
Dentist (Pediatric Dentistry)
273 REGENCY RIDGE DR
CENTERVILLE, OH 45459

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 Centerville Oh - Kyle Jackson Dds Inc's NPI number?

The NPI number for Centerville Oh - Kyle Jackson Dds Inc is 1730032210. It was assigned to this organization in the NPPES registry on February 16, 2026.

Where is Centerville Oh - Kyle Jackson Dds Inc located?

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

What is Centerville 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 Centerville Oh - Kyle Jackson Dds Inc was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.