Associated Pediatric Dentistry, LLC
Organization Active NPI Pediatric Dentistry · O Fallon, IL
NPI 1235527490 · NPPES record last updated Dec 22, 2014
Key facts
- NPI
- 1235527490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- ASSOCIATED PEDIATRIC DENTISTRY, LLC
- Practice address
- 4945 Stone Falls Ctr
Suite B
O Fallon, IL 62269-7801 - Phone
- (618) 622-0212
- NPI assigned
- Dec 22, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Kevin C Beyersdorfer
- Title
- Vice President
- Phone
- (618) 622-0212
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
4945 Stone Falls Ctr
Suite B
O Fallon, IL 62269-7801
Mailing address
4945 Stone Falls Ctr
Suite B
O Fallon, IL 62269-7801
Phone (618) 622-0212
Other providers in O Fallon, IL
- Brooke Arnel
- Brittany Lee Arthur
- Tatum L Asbeck
- Bassim Assioun
- Associated Pediatric Dentistry LTD
- Associated Physicians Group
- Associated Physicians Group LTD
- Associated Physicians Group, LTD
- Associated Vision Care, LTD
- Avc Optometry Inc
All providers in O Fallon, IL · Pediatric Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.