Kyle R. Jackson, DDS, LLC

Kyle R. Jackson, DDS, LLC is a healthcare organization registered as Pediatric Dentistry in Beavercreek, OH, holding Type 2 (organization) NPI 1710546437 since 2019. The authorized official on file is Kyle Jackson, Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1710546437
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	9375867729
Fax	9374909904
Enumeration date	2019-06-06
Last updated in NPPES	2019-06-06

Authorized official

Name	Kyle Jackson
Title	Owner
Phone	9375867729

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223P0221X	Pediatric Dentistry	Primary	—	—

Copy-ready billing details

Provider: Kyle R. Jackson, DDS, LLC
NPI: 1710546437
Taxonomy: 1223P0221X (Pediatric Dentistry)
Address: 4090 INDIAN RIPPLE RD UNIT 102, Beavercreek, OH, 45440

Verify this record

Cross-check NPI 1710546437 against the authoritative CMS record: view Kyle R. Jackson, DDS, LLC on the official NPPES registry .

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 or validate an NPI number.

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 2026-07-11. Provider record last updated 2019-06-06.