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ADVENTURE PEDIATRIC DENTISTRY OF CENTERVILLE - DRS. JACKSON AND MASON NPI 1710364369


NPI Information

NPI: 1710364369
Provider Name: ADVENTURE PEDIATRIC DENTISTRY OF CENTERVILLE - DRS. JACKSON AND MASON
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
273 REGENCY RIDGE DR
CENTERVILLE, OH
ZIP 45459
Phone: (937) 586-7729
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ADVENTURE PEDIATRIC DENTISTRY OF CENTERVILLE - DRS. JACKSON AND MASON is a pediatric dentistry dentist in Centerville, OH. The provider is 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. ADVENTURE PEDIATRIC DENTISTRY OF CENTERVILLE - DRS. JACKSON AND MASON NPI is 1710364369. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

273 REGENCY RIDGE DR
CENTERVILLE, OH
ZIP 45459-221
Phone: (937) 586-7729

The provider's authorized official is Kyle R Jackson .
The authorized official title is Partner and has the following contact phone number (937) 586-7729.

The enumeration date for this NPI number is 5/4/2015 and was last updated on 5/4/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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