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DR. KYLE E PEDERSEN D.D.S.
NPI 1619092905
Dentist - Pediatric Dentistry in St Charles, IL

Active since March 19, 2007
2560 FOXFIELD RD, SUITE 190, ST CHARLES, IL 60174(630) 587-4444 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kyle E Pedersen D.d.s. NPPES

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

DR. KYLE E PEDERSEN D.D.S. (NPI 1619092905) is an individual pediatric dentistry provider in St Charles, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1619092905
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KYLE E PEDERSENCredential: D.D.S.
Location Address2560 FOXFIELD RD, SUITE 190St Charles, IL 60174-5797
Mailing Address2560 Foxfield Rd, Suite 190St Charles, IL 60174-5797 · (630) 587-4444
Phone(630) 587-4444
Sole ProprietorYes
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619092905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
2560 FOXFIELD RD, St Charles, IL 60174
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

FOX PRAIRIE MEDICAL GROUP P C
Internal Medicine
2560 FOXFIELD RD, SUITE 160
ST CHARLES, IL 60174
Kane County (630) 513-8734
DR. FRANCIS WILLIAM HANNA D.C.
Chiropractor
2560 FOXFIELD RD, SUITE 140
SAINT CHARLES, IL 60174
Kane County (630) 731-1149
WEST SUBURBAN DERMATOLOGY & COSMETIC SURGERY
Dermatology
2560 FOXFIELD RD, SUITE 100
SAINT CHARLES, IL 60174
Kane County (630) 443-8855
DR. JEFFREY M C WONG D.C.
Chiropractor (Orthopedic)
2560 FOXFIELD RD, SUITE 140
ST CHARLES, IL 60174
Kane County (630) 584-8729
DR. RANY JAZAYERLI M.D.
Dermatology
2560 FOXFIELD RD, SUITE 100
SAINT CHARLES, IL 60174
Kane County (630) 443-8855
BETHANY M KOSEK
Counselor (Professional)
2560 FOXFIELD RD
ST CHARLES, IL 60174
Kane County (630) 222-7375

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 Pedersen's NPI number?

The NPI number for Kyle Pedersen is 1619092905. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Kyle Pedersen located?

Kyle Pedersen practices at 2560 Foxfield Rd Suite 190, St Charles, IL 60174. The listed phone number is (630) 587-4444.

What is Kyle Pedersen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Kyle Pedersen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Kyle Pedersen 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 Pedersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.