Kyle E Pedersen Dds Pc in St Charles - Dentist
Kyle E Pedersen Dds Pc - NPI 1760679005
Kyle E Pedersen Dds Pc is a Dentist in St Charles, Illinois. Kyle E Pedersen Dds Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kyle E Pedersen Dds Pc is 1760679005. The last update date is 2011-03-07.
Kyle E Pedersen Dds Pc's current location address is 2570 Foxfield Rd, St Charles, Illinois. You can contact this provider via phone number 6305874444 and fax number 6305875811. The mailing address for Kyle E Pedersen Dds Pc is 2570 Foxfield Rd, St Charles, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kyle E Pedersen Dds Pc |
|---|---|
| Address | 2570 Foxfield Rd, St Charles, Illinois |
| Phone Number | 6305874444 |
| Fax Number | 6305875811 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pedersen E Kyle |
| Credentials | DDS |
| Telephone Number | 6305874444 |
NPI Number Detail
| NPI Number | 1760679005 |
|---|---|
| Provider Enumeration Date | 2007-10-01 |
| Last Updated Date | 2011-03-07 |
Provider Mailing Address Detail
| Address | 2570 Foxfield Rd |
|---|---|
| City | St Charles |
| State | Illinois (IL) |
| Post Code | 601741406 |
| Phone Number | 6305874444 |
| Fax Number | 6305875811 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 21001694 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Kyle E Pedersen Dds Pc by the Centers for Medicare & Medicaid Services?
The Kyle E Pedersen Dds Pc has been issued the NPI (National Provider Identifier) 1760679005. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kyle E Pedersen Dds Pc's facilities are geographically located?
The facilities of Kyle E Pedersen Dds Pc are physically situated at the following location: 2570 Foxfield Rd, St Charles, IL, 601741406.
What is Kyle E Pedersen Dds Pc's area of expertise and its corresponding taxonomy classification?
The Kyle E Pedersen Dds Pc's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760679005 to Kyle E Pedersen Dds Pc?
The Centers for Medicare & Medicaid Services originally issued the 1760679005 to Kyle E Pedersen Dds Pc on 2007-10-01.
As of what date were the details related to Kyle E Pedersen Dds Pc most recently updated or revised?
The information pertaining to Kyle E Pedersen Dds Pc, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-07.
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