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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.