OrganizationActive
Centerville Oh - Kyle Jackson DDS Inc
NPI 1730032210 · Pediatric Dentistry · Centerville, OH
Centerville Oh - Kyle Jackson DDS Inc is a Pediatric Dentistry organization in Centerville, OH (NPI 1730032210).
Provider details
- NPI number
- 1730032210
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Maggi Evans, Credentialing Manager(720) 603-4800
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
273 Regency Ridge Dr
Centerville, OH 45459-4221
Phone: (937) 586-7729
Street-level locationGet directions
Mailing address
273 Regency Ridge Dr
Centerville, OH 45459-4221
Registry dates
- Enumerated
- 2026-02-16
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Frequently asked questions
- What is Centerville Oh - Kyle Jackson DDS Inc's NPI number?
- Centerville Oh - Kyle Jackson DDS Inc's National Provider Identifier (NPI) is 1730032210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centerville Oh - Kyle Jackson DDS Inc?
- Centerville Oh - Kyle Jackson DDS Inc is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Centerville Oh - Kyle Jackson DDS Inc located?
- Centerville Oh - Kyle Jackson DDS Inc's practice location on file with NPPES is 273 Regency Ridge Dr, Centerville, OH 45459-4221.
- What is Centerville Oh - Kyle Jackson DDS Inc's phone number?
- The practice phone number listed in the NPPES registry for Centerville Oh - Kyle Jackson DDS Inc is (937) 586-7729.
- Who is the authorized official for Centerville Oh - Kyle Jackson DDS Inc?
- The authorized official listed on Centerville Oh - Kyle Jackson DDS Inc's NPPES record is Maggi Evans, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centerville Oh - Kyle Jackson DDS Inc's NPI active?
- Yes — Centerville Oh - Kyle Jackson DDS Inc's NPI (1730032210) is active in the NPPES registry as of the last update on 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.