1. Home
  2. Directory
  3. Florida
  4. Palm Springs
  5. Dentist
  6. NPI Profile

KYLE PETTERSEN DDS
NPI 1275849986
Dentist - General Practice in Palm Springs, FL

Active since August 19, 2010
3401 S CONGRESS AVE STE 206, PALM SPRINGS, FL 33461(561) 366-2222 Get Directions Write a Review

NPPES record last updated: April 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 19, 2026, Mar 26, 2021 (2 updates tracked since 2021).

About Kyle Pettersen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE PETTERSEN DDS (NPI 1275849986) is an individual general practice provider in Palm Springs, Florida, licensed in Georgia (DN016137) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1275849986
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKYLE PETTERSENCredential: DDS
Location Address3401 S CONGRESS AVE STE 206Palm Springs, FL 33461-3066
Mailing Address3401 S Congress Ave Ste 206Palm Springs, FL 33461-3066 · (561) 366-2222
Phone(561) 366-2222
Sole ProprietorYes
Enumeration DateAugust 19, 2010
Last NPPES UpdateApril 19, 20262 updates tracked since enumeration
NPPES CertifiedApril 19, 2026
✔ NPI 1275849986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in GA · DN016137✔ Licensed in CA · 59547✔ Licensed in TX · 0025983
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3401 S CONGRESS AVE STE 206, Palm Springs, FL 33461
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANORIS LORA
Dentist
3401 S CONGRESS AVE STE 206
PALM SPRINGS, FL 33461
Palm Beach County (561) 366-2222
PRIME PEDIATRIC DENTAL GROUP PA
Dentist (Pediatric Dentistry)
3401 S CONGRESS AVE STE 206
PALM SPRINGS, FL 33461
Palm Beach County (305) 251-5390

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Pettersen's NPI number?

The NPI number for Kyle Pettersen is 1275849986. It was assigned to this individual provider in the NPPES registry on August 19, 2010.

Where is Kyle Pettersen located?

Kyle Pettersen practices at 3401 S Congress Ave Ste 206, Palm Springs, FL 33461. The listed phone number is (561) 366-2222.

What is Kyle Pettersen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kyle Pettersen accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 9 other insurers list Kyle Pettersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Pettersen was last updated on April 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.