Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kyle R. Jackson, DDS, LLC

Pediatric Dentistry in Beavercreek, OH · enumerated 2019 · authorized official Kyle Jackson, Owner.

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

National Provider Identifier

1710546437

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Kyle R. Jackson, DDS, LLC

Practice address 4090 Indian Ripple Rd Unit 102, Beavercreek, OH, 45440

Phone (937) 586-7729

Fax (937) 490-9904

Enumeration date Jun 6, 2019

Last updated in NPPES Jun 6, 2019

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers Primary

Authorized official

Name Kyle Jackson

Title 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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-06-06. Verify at npiregistry.cms.hhs.gov.

Where is Kyle R. Jackson, DDS, LLC located?

The practice location on file with NPPES is in Beavercreek, OH.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-06.