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Kyle R. Jackson, Dds, Llc
Pediatric Dentist in Beavercreek, Ohio
NPI 1710546437

Kyle R. Jackson, Dds, Llc is a Pediatric Dentist based in Centerville, OH and is specialized in Pediatric Dentistry. Kyle R. Jackson, Dds, Llc practices in Beavercreek, OH. The NPI Number for Kyle R. Jackson, Dds, Llc is 1710546437 and holds a License No. (Ohio).

The current practice location address for Kyle R. Jackson, Dds, Llc is 4090 Indian Ripple Rd Unit 102, Beavercreek, OH and can be reached out via phone at 937-586-7729 and via fax at 937-490-9904.

Location: 4090 Indian Ripple Rd Unit 102, Beavercreek, OH, 45459-4221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710546437
Provider Name
Kyle R. Jackson, Dds, Llc
Credential
Provider Entity Type
Organization
Address
4090 Indian Ripple Rd Unit 102, Beavercreek, OH, 45459-4221
Phone Number
937-586-7729
Fax Number
937-490-9904
Provider Enumeration Date
06/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4090 Indian Ripple Rd Unit 102
City
Beavercreek
State
Ohio
Zip
45440-3253
Phone Number
937-586-7729
Fax Number
937-490-9904
person
Provider Business Mailing Address Details
Address
4090 Indian Ripple Rd Unit 102
City
Beavercreek
State
Ohio
Zip
45440-3253
Phone Number
937-586-7729
Fax Number
937-490-9904
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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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.
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