Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Associated Pediatric Dentistry Ltd

Organization Pediatric Dentistry · NPI 1952497901

Associated Pediatric Dentistry Ltd is a Pediatric Dentistry in O Fallon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4945 Stone Falls Ctr Ste B
O Fallon, IL 62269-7802
Phone: (618) 622-0212
Fax: (618) 622-1996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X (IL)

Record details

NPI number1952497901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Beyersdorfer — Owner Dentist · (618) 622-0212
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 21, 2022
Mailing address4945 Stone Falls Ctr, Suite B, O Fallon, IL 62269-7802

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