Kyle Pettersen is a Lilburn, Georgia based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kyle Pettersen is
DN016137 for General Practice Dentistry in Georgia. His current practice location is
609 Beaver Ruin Rd Nw # A, Lilburn. Patients can reach him at
678-606-9407.
Kyle Pettersen is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kyle Pettersen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kyle Pettersen |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 609 Beaver Ruin Rd Nw # A, Lilburn,
Georgia, 30047-3401 |
| Phone: | 678-606-9407 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1275849986 |
| NPI Enumeration Date: | 19 Aug, 2010 |
| NPI Last Update On: | 26 Mar, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kyle Pettersen are as mentioned below.
| License Number | Specialization | State | Status | |
| DN016137 | General Practice Dentistry | Georgia | Primary | |
| 0025983 | General Practice Dentistry | Texas | Secondary | |
| 59547 | General Practice Dentistry | California | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 207 13th St Ne Apt 2306,
Atlanta, Georgia |
| Zip: | 30309-4611 |
| Phone Number: | 561-715-3397 |
Patients can reach Kyle Pettersen at
609 Beaver Ruin Rd Nw # A, Lilburn, Georgia or can
call to book an appointment on 678-606-9407.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.