Centerille Pediatric Dentistry, Kyle R Jackson, Dds, INC

NPI #1386073112 in Centerville, Ohio

Provider Information

NPI Number
1386073112
Entity Type
Organization
Organization Name
Centerille Pediatric Dentistry, Kyle R Jackson, Dds, INC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Nov 2, 2013
Last Updated
Aug 11, 2016

Practice Location

Address
273 REGENCY RIDGE DR
State
Ohio
ZIP Code
45459-4221
Phone
(937) 586-7729

Authorized Official

Name
DR. KYLE R. JACKSON, DDS
Title
DENTIST/OWNER
Phone
(937) 586-7729

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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