Centerville Oh - Kyle Jackson DDS Inc
Centerville Oh - Kyle Jackson DDS Inc is a healthcare organization registered as Pediatric Dentistry in Centerville, OH, holding Type 2 (organization) NPI 1730032210 since 2026. The authorized official on file is Maggi Evans, Credentialing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1730032210 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Centerville Oh - Kyle Jackson DDS Inc |
| Practice address | 273 REGENCY RIDGE DR, Centerville, OH, 45459 |
| Phone | 9375867729 |
| Enumeration date | 2026-02-16 |
| Last updated in NPPES | 2026-02-16 |
Authorized official
| Name | Maggi Evans |
|---|---|
| Title | Credentialing Manager |
| Phone | 7206034800 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Centerville Oh - Kyle Jackson DDS Inc NPI: 1730032210 Taxonomy: 1223P0221X (Pediatric Dentistry) Address: 273 REGENCY RIDGE DR, Centerville, OH, 45459
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1730159849 | Kyle Jackson | Individual | Pediatric Dentistry | Centerville, OH |
| 1114994068 | Barbara Cortez | Individual | Dermatology Physician | Centerville, OH |
| 1609075126 | Kashif Bhatti | Individual | Pediatric Dentistry | Centerville, OH |
| 1386073112 | Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc | Organization | Pediatric Dentistry | Centerville, OH |
| 1710364369 | Adventure Pediatric Dentistry of Centerville - Drs. Jackson and Mason | Organization | Pediatric Dentistry | Centerville, OH |
| 1003379272 | Megan Tigani | Individual | Pediatric Dentistry | Centerville, OH |
Verify this record
Cross-check NPI 1730032210 against the authoritative CMS record: view Centerville Oh - Kyle Jackson DDS Inc 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
What is the NPI number for Centerville Oh - Kyle Jackson DDS Inc?
Who is the authorized official for Centerville Oh - Kyle Jackson DDS Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-02-16.