Kyle R. Jackson in Centerville - Pediatric Dentistry
Kyle R. Jackson - NPI 1730159849
Kyle R. Jackson is a Pediatric Dentistry in Centerville, Ohio. Kyle R. Jackson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kyle R. Jackson is 1730159849. The last update date is 2016-12-08.
Kyle R. Jackson's current location address is 273 Regency Ridge Dr, Centerville, Ohio. You can contact this provider via phone number 9375867729 and fax number 9376604450. The mailing address for Kyle R. Jackson is 273 Regency Ridge Dr, Centerville, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle R. Jackson |
|---|---|
| Address | 273 Regency Ridge Dr, Centerville, Ohio |
| Phone Number | 9375867729 |
| Fax Number | 9376604450 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1730159849 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2016-12-08 |
Provider Mailing Address Detail
| Address | 273 Regency Ridge Dr |
|---|---|
| City | Centerville |
| State | Ohio (OH) |
| Post Code | 454594221 |
| Phone Number | 9375867729 |
| Fax Number | 9376604450 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 30-01-8976 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique identifier code issued to Kyle R. Jackson by the Centers for Medicare & Medicaid Services?
The Kyle R. Jackson has been assigned the NPI (National Provider Identifier) 1730159849. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kyle R. Jackson's facilities are geographically located?
The facilities of Kyle R. Jackson are physically situated at the following location: 273 Regency Ridge Dr, Centerville, OH, 454594221.
What is Kyle R. Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kyle R. Jackson's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
When did the Kyle R. Jackson receive its 1730159849?
The Kyle R. Jackson was issued its 1730159849 on 2006-01-23, which is the date when the organization was assigned this unique identifier.
When was the information regarding Kyle R. Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kyle R. Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-12-08.