Individual provider · Type 1 NPI
Kevin Charles Beyersdorfer, DDS
Pediatric Dentistry · O Fallon, IL
NPI number
1295814002
Active
Practice location
4945 Stone Falls Center, Ste B
O Fallon, IL 62269-7802
Fax (618) 622-1996
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 019021773 (IL) |
Pediatric Dentistry: 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.
Other pediatric dentistry providers in O Fallon
About NPI 1295814002
Kevin Charles Beyersdorfer, DDS's National Provider Identifier is 1295814002, issued on Nov 3, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in O Fallon, IL. The record was last updated on Jun 11, 2008.