| Jackson Dental Group, Llc | |
|
7908 Cincinnati Dayton Rd Ste R West Chester OH 45069-6630 | |
| (937) 586-7729 | |
| Not Available |
| Full Name | Jackson Dental Group, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7908 Cincinnati Dayton Rd Ste R, West Chester, Ohio |
| Authorized Official Name and Position | Kyle Jackson (PRESIDENT) |
| Authorized Official Contact | 9376892717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Dental Group, Llc 273 Regency Ridge Dr Centerville OH 45459-4221 Ph: (724) 622-8895 | Jackson Dental Group, Llc 7908 Cincinnati Dayton Rd Ste R West Chester OH 45069-6630 Ph: (937) 586-7729 |
| NPI Number | 1184347452 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 04/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184347452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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