Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc
NPI 1386073112 · Pediatric Dentistry · Centerville, OH
Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc is a Pediatric Dentistry organization in Centerville, OH (NPI 1386073112).
Provider details
- NPI number
- 1386073112
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kyle Jackson, Dentist/Owner(937) 586-7729
- License
- 30018976 (OH)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-11-02
- Last updated
- 2016-08-11
Frequently asked questions
- What is Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc's NPI number?
- Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc's National Provider Identifier (NPI) is 1386073112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc?
- Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc located?
- Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc's practice location on file with NPPES is 273 Regency Ridge Dr, Centerville, OH 45459-4221.
- What is Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc's phone number?
- The practice phone number listed in the NPPES registry for Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc is (937) 586-7729.
- Who is the authorized official for Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc?
- The authorized official listed on Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc's NPPES record is Kyle Jackson, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc's NPI active?
- Yes — Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc's NPI (1386073112) is active in the NPPES registry as of the last update on 2016-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.