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

Kevin Charles Beyersdorfer, DDS

Individual provider Pediatric Dentistry · NPI 1295814002

Kevin Charles Beyersdorfer, DDS 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?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

4945 Stone Falls Ctr Ste B
O Fallon, IL 62269-7802
Phone: (618) 622-0212
Fax: (618) 622-1996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 019021773 (IL)

Record details

NPI number1295814002
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 3, 2006
Last updated in NPPESJune 11, 2008

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