Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kyle R. Jackson, DDS

Individual provider Pediatric Dentistry · NPI 1730159849

Dr. Kyle R. Jackson, DDS is a Pediatric Dentistry in Centerville, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

273 Regency Ridge Dr
Centerville, OH 45459-4221
Phone: (937) 586-7729
Fax: (937) 660-4450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 30-01-8976 (OH)

Record details

NPI number1730159849
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESDecember 8, 2016

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