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Dr. Kyle R. Jackson, DDS
Pediatric Dentist in Centerville, Ohio
NPI 1730159849

Kyle R. Jackson is a Pediatric Dentist based in Centerville, OH and is specialized in Pediatric Dentistry. Kyle R. Jackson practices in Centerville, OH and has the professional credentials of DDS. The NPI Number for Kyle R. Jackson is 1730159849 and holds a License No. 30-01-8976 (Ohio).

The current practice location address for Kyle R. Jackson is 273 Regency Ridge Dr, Centerville, OH and can be reached out via phone at 937-586-7729 and via fax at 937-660-4450. You can also correspond with Kyle R. Jackson through the mailing address at 273 REGENCY RIDGE DR, CENTERVILLE, OH - 45459-4221 (mailing address contact number: 937-586-7729).

Location: 273 Regency Ridge Dr, Centerville, OH, 45459-4221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730159849
Provider Name
Kyle R. Jackson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
273 Regency Ridge Dr, Centerville, OH, 45459-4221
Phone Number
937-586-7729
Fax Number
937-660-4450
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
273 Regency Ridge Dr
City
Centerville
State
Ohio
Zip
45459-4221
Phone Number
937-586-7729
Fax Number
937-660-4450
person
Provider Business Mailing Address Details
Address
273 Regency Ridge Dr
City
Centerville
State
Ohio
Zip
45459-4221
Phone Number
937-586-7729
Fax Number
937-660-4450
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
30-01-8976 (Ohio)
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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