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Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc

Pediatric Dentistry in Centerville, OH · enumerated 2013 · authorized official Kyle Jackson, Dentist/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386073112

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Registry record

Entity type Organization (Type 2)
Legal business name Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc
Practice address 273 Regency Ridge Dr, Centerville, OH, 45459
Phone (937) 586-7729
Fax (937) 660-4450
Enumeration date Nov 2, 2013
Last updated in NPPES Aug 11, 2016

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License 30018976 (OH) Primary

Authorized official

Name Kyle Jackson
Title Dentist/Owner
Phone (937) 586-7729

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc?
Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc is registered in NPPES as a Pediatric Dentistry (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-08-11.