Associated Pediatric Dentistry, LLC
Associated Pediatric Dentistry, LLC is a healthcare organization registered as Pediatric Dentistry in O Fallon, IL, holding Type 2 (organization) NPI 1235527490 since 2014. The authorized official on file is Kevin Beyersdorfer, Vice President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1235527490 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Associated Pediatric Dentistry, LLC |
| Practice address | 4945 STONE FALLS CTR, SUITE B, O Fallon, IL, 62269 |
| Phone | 6186220212 |
| Enumeration date | 2014-12-22 |
| Last updated in NPPES | 2014-12-22 |
Authorized official
| Name | Kevin Beyersdorfer |
|---|---|
| Title | Vice President |
| Phone | 6186220212 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Associated Pediatric Dentistry, LLC NPI: 1235527490 Taxonomy: 1223P0221X (Pediatric Dentistry) Address: 4945 STONE FALLS CTR, SUITE B, O Fallon, IL, 62269
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689633810 | Carleigh Prane | Individual | General Practice Dentistry | O Fallon, IL |
| 1952497901 | Associated Pediatric Dentistry Ltd | Organization | Pediatric Dentistry | O Fallon, IL |
| 1790871721 | Gerusa Mello-Anderson | Individual | Pediatric Dentistry | O Fallon, IL |
| 1174945158 | Stone Falls Dental Care, LLC | Organization | Dentist | O Fallon, IL |
Verify this record
Cross-check NPI 1235527490 against the authoritative CMS record: view Associated Pediatric Dentistry, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Associated Pediatric Dentistry, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-12-22.