Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN CHARLES BEYERSDORFER, DDS
ActiveKEVIN CHARLES BEYERSDORFER, DDS is a Pediatric Dentistry healthcare provider located in O FALLON, Illinois. NPI 1295814002 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · O FALLON, IL
Registration Details
- NPI Number
- 1295814002
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2006 (19.789719273557 yrs)
- Last Updated
- Jun 11, 2008
- License
-
019021773 (IL)
Practice Information
- Address
-
4945 STONE FALLS CENTERSTE BO FALLON, IL, 622697802Browse IL providers · Browse ZIP 62269
- Phone
- 6186220212
- Fax
- 6186221996
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| GERUSA MELLO-ANDERSON | D.D.S. | 1790871721 |
| CHRISTOPHER JOHN HAAS | — | 1932782703 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.