OrganizationActive
Kyle R. Jackson, DDS, LLC
NPI 1710546437 · Pediatric Dentistry · Beavercreek, OH
Kyle R. Jackson, DDS, LLC is a Pediatric Dentistry organization in Beavercreek, OH (NPI 1710546437).
Provider details
- NPI number
- 1710546437
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kyle Jackson, Owner(937) 586-7729
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
4090 Indian Ripple Rd Unit 102
Beavercreek, OH 45440-3253
Phone: (937) 586-7729
Fax: (937) 490-9904
Street-level locationGet directions
Mailing address
273 Regency Ridge Dr
Centerville, OH 45459-4221
Other names (DBA / former)
- Doing business as
- Keep Smiling Kids
Registry dates
- Enumerated
- 2019-06-06
- Last updated
- 2019-06-06
Frequently asked questions
- What is Kyle R. Jackson, DDS, LLC's NPI number?
- Kyle R. Jackson, DDS, LLC's National Provider Identifier (NPI) is 1710546437, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kyle R. Jackson, DDS, LLC?
- Kyle R. Jackson, DDS, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Kyle R. Jackson, DDS, LLC located?
- Kyle R. Jackson, DDS, LLC's practice location on file with NPPES is 4090 Indian Ripple Rd Unit 102, Beavercreek, OH 45440-3253.
- What is Kyle R. Jackson, DDS, LLC's phone number?
- The practice phone number listed in the NPPES registry for Kyle R. Jackson, DDS, LLC is (937) 586-7729.
- Who is the authorized official for Kyle R. Jackson, DDS, LLC?
- The authorized official listed on Kyle R. Jackson, DDS, LLC's NPPES record is Kyle Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kyle R. Jackson, DDS, LLC's NPI active?
- Yes — Kyle R. Jackson, DDS, LLC's NPI (1710546437) is active in the NPPES registry as of the last update on 2019-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.