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ASSOCIATED PEDIATRIC DENTISTRY LTD
NPI 1952497901
Dentist - Pediatric Dentistry in O Fallon, IL

Active since October 05, 2006
4945 STONE FALLS CTR, SUITE B, O FALLON, IL 62269(618) 622-0212(618) 622-1996 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Associated Pediatric Dentistry Ltd NPPES

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

ASSOCIATED PEDIATRIC DENTISTRY LTD (NPI 1952497901) is a healthcare organization registered as a pediatric dentistry in O Fallon, Illinois and active in the NPI registry since October 2006. The organization lists Kevin Charles Beyersdorfer, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1952497901
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameASSOCIATED PEDIATRIC DENTISTRY LTD
Location Address4945 STONE FALLS CTR, SUITE BO Fallon, IL 62269-7802
Mailing Address4945 Stone Falls Ctr, Suite BO Fallon, IL 62269-7802 · (618) 622-0212 · Fax (618) 622-1996
Phone(618) 622-0212
Fax(618) 622-1996
Organization SubpartNo
Authorized OfficialKevin Charles BeyersdorferOwner Dentist · (618) 622-0212
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1952497901 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.
4945 STONE FALLS CTR, O Fallon, IL 62269
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

STONE FALLS DENTAL CARE, LLC
Dentist
4945 STONE FALLS CTR, SUITE A
O FALLON, IL 62269
St. Clair County (618) 624-2800
ASSOCIATED PEDIATRIC DENTISTRY, LLC
Dentist (Pediatric Dentistry)
4945 STONE FALLS CTR, SUITE B
O FALLON, IL 62269
St. Clair County (618) 622-0212
CARLEIGH PRANE DMD
Dentist (General Practice)
4945 STONE FALLS CTR, SUITE A
O FALLON, IL 62269
St. Clair County (618) 624-2800
GERUSA MELLO-ANDERSON D.D.S.
Dentist (Pediatric Dentistry)
4945 STONE FALLS CTR, SUITE B
O FALLON, IL 62269
St. Clair County (618) 622-0212

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 Associated Pediatric Dentistry Ltd's NPI number?

The NPI number for Associated Pediatric Dentistry Ltd is 1952497901. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Associated Pediatric Dentistry Ltd located?

Associated Pediatric Dentistry Ltd is located at 4945 Stone Falls Ctr Suite B, O Fallon, IL 62269. The listed phone number is (618) 622-0212.

What is Associated Pediatric Dentistry Ltd's specialty?

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

When was this NPI record last updated?

The NPPES record for Associated Pediatric Dentistry Ltd was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.