OrganizationActive
Associated Pediatric Dentistry, LLC
NPI 1235527490 · Pediatric Dentistry · O Fallon, IL
Associated Pediatric Dentistry, LLC is a Pediatric Dentistry organization in O Fallon, IL (NPI 1235527490).
Provider details
- NPI number
- 1235527490
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Beyersdorfer, Vice President(618) 622-0212
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4945 Stone Falls Ctr
Suite B
O Fallon, IL 62269-7801
Phone: (618) 622-0212
Approximate (ZIP-level) locationGet directions
Mailing address
4945 Stone Falls Ctr
O Fallon, IL 62269-7801
Registry dates
- Enumerated
- 2014-12-22
- Last updated
- 2014-12-22
Frequently asked questions
- What is Associated Pediatric Dentistry, LLC's NPI number?
- Associated Pediatric Dentistry, LLC's National Provider Identifier (NPI) is 1235527490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Associated Pediatric Dentistry, LLC?
- Associated Pediatric Dentistry, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Associated Pediatric Dentistry, LLC located?
- Associated Pediatric Dentistry, LLC's practice location on file with NPPES is 4945 Stone Falls Ctr, O Fallon, IL 62269-7801.
- What is Associated Pediatric Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Associated Pediatric Dentistry, LLC is (618) 622-0212.
- Who is the authorized official for Associated Pediatric Dentistry, LLC?
- The authorized official listed on Associated Pediatric Dentistry, LLC's NPPES record is Kevin Beyersdorfer, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Associated Pediatric Dentistry, LLC's NPI active?
- Yes — Associated Pediatric Dentistry, LLC's NPI (1235527490) is active in the NPPES registry as of the last update on 2014-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.