| Centerville Oh - Kyle Jackson Dds Inc | |
|
273 Regency Ridge Dr Centerville OH 45459-4221 | |
| (937) 586-7729 | |
| Not Available |
| Full Name | Centerville Oh - Kyle Jackson Dds Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 273 Regency Ridge Dr, Centerville, Ohio |
| Authorized Official Name and Position | Maggi Evans (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7206034800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerville Oh - Kyle Jackson Dds Inc 273 Regency Ridge Dr Centerville OH 45459-4221 Ph: (937) 586-7729 | Centerville Oh - Kyle Jackson Dds Inc 273 Regency Ridge Dr Centerville OH 45459-4221 Ph: (937) 586-7729 |
| NPI Number | 1730032210 |
|---|---|
| Provider Enumeration Date | 02/16/2026 |
| Last Update Date | 02/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730032210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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