Beyersdorfer, Kevin Charles

Beyersdorfer, Kevin Charles is an individual health care provider with primary practice located at 4945 Stone Falls Center Ste B, O Fallon IL 62269-7802. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Beyersdorfer, Kevin Charles can be contacted via phone (618) 622-0212.

Contact Information

Primary practice address
4945 Stone Falls Center Ste B O Fallon IL 62269-7802
Phone: (618) 622-0212
Fax: (618) 622-1996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 019021773 Illinois

Profile Details

NPI number 1295814002
LBN Legal business name Beyersdorfer, Kevin Charles
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jun 11th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers