Kevin Charles Beyersdorfer, DDS
Pediatric Dentistry · O Fallon, IL
Kevin Charles Beyersdorfer, DDS is a pediatric dentistry with a practice address in O Fallon, Illinois, and NPI 1295814002, issued on Nov 3, 2006. Check the license (Illinois 019021773, as entered in NPPES) with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kevin Charles Beyersdorfer
- Credential
- DDS
- Primary taxonomy
- Pediatric Dentistry 1223P0221X
- License number
- 019021773 IL
Self-reported in NPPES; status is on the state search - Practice location
- 4945 Stone Falls Center, O Fallon, IL 62269
- Phone
- (618) 622-0212
- Enumerated
- Nov 3, 2006
- Record last updated
- Jun 11, 2008 (not updated in 18 years: call before relying on the address or phone)
- Fax
- (618) 622-1996
- Entity
- Type 1 · individual
Verify Kevin Charles Beyersdorfer in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 019021773Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Pediatric Dentistry providers in Illinois
There are 255 pediatric dentistry records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other pediatric dentistry records in Illinois
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- Azza Ahmed, BDS, MSC, PHDChicago, IL1326672791
- Generand Algenio, DDS, MSNew Lenox, IL1164820544
- Mohamad Alhadlaq, BDSChicago, IL1831679844
- Adetowun Alimi-Ukoha, DDSFlossmoor, IL1508292616
- Sahar Alrayyes, DDS, MSChicago, IL1497870554
- Niekla AndiestaChicago, IL1043142896
- Amelia Angelo, DMDChicago, IL1104317510
- Angelo Arce, D.D.S.Chicago, IL1104357722
- Justin Baik, DMDElgin, IL1417512104
Common questions
What is Kevin Charles Beyersdorfer, DDS's NPI number?
Kevin Charles Beyersdorfer, DDS's National Provider Identifier (NPI) is 1295814002, issued on Nov 3, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kevin Charles Beyersdorfer, DDS located?
The NPPES record lists a practice address at 4945 Stone Falls Center, O Fallon, IL, 62269. Phone: (618) 622-0212. Providers update this record themselves, so call before visiting.
How can I verify Kevin Charles Beyersdorfer, DDS's license?
NPPES lists Illinois license number 019021773, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.