NPI 1184347452

Jackson Dental Group, LLC

Organisation Pediatric Dentistry West Chester, OH

Practice location

Address: 7908 Cincinnati Dayton Rd STE R, West Chester, OH 45069-6630
Phone: (937) 586-7729
Mailing address: 273 Regency Ridge Dr, Centerville, OH 45459-4221

Authorised official

Name: Kyle Jackson
Title: President
Phone: (937) 689-2717

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X

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Registry record

NPI: 1184347452
Entity type: Organization
NPI issued: 22 Sep 2022
Record last updated: 19 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.