OrganizationActive
Beavercreek Oh - Kyle Jackson DDS Inc
NPI 1184577660 · Pediatric Dentistry · Dayton, OH
Provider details
- NPI number
- 1184577660
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Maggi Evans, Credentialing Manager(720) 603-4800
Specialties & taxonomies
Dental Providers
Practice location
4090 Indian Ripple Rd Ste 102
Dayton, OH 45440-3292
Phone: (937) 986-1886
Approximate (ZIP-level) locationGet directions
Mailing address
4090 Indian Ripple Rd Ste 102
Dayton, OH 45440-3292
Registry dates
- Enumerated
- 2026-02-16
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.