Kyle E Pedersen DDS PC

Kyle E Pedersen DDS PC is a healthcare organization registered as Dentist in St Charles, IL, holding Type 2 (organization) NPI 1760679005 since 2007. The authorized official on file is Kyle Pedersen, Owner.

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NPI	1760679005
Entity type	Organization (Type 2)
Legal business name	Kyle E Pedersen DDS PC
Other name	<Unavail>
Practice address	2570 FOXFIELD RD, STE 203, St Charles, IL, 60174
Phone	6305874444
Fax	6305875811
Enumeration date	2007-10-01
Last updated in NPPES	2011-03-07

Authorized official

Name	Kyle Pedersen
Title	Owner
Phone	6305874444

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
122300000X	Dentist	Primary	021001694	IL

Copy-ready billing details

Provider: Kyle E Pedersen DDS PC
NPI: 1760679005
Taxonomy: 122300000X (Dentist)
Address: 2570 FOXFIELD RD, STE 203, St Charles, IL, 60174

Providers at this address

NPI	Name	Type	Specialty	Location
1295785756	Catherine Thomas	Individual	Internal Medicine Physician	St Charles, IL
1215029467	Fifth Ave Primary Care Physicians Sc	Organization	Family Medicine Physician	St Charles, IL
1386705085	Steve Thiel	Individual	Physician Assistant	St Charles, IL
1144381823	Amy Frazer	Individual	Physician Assistant	St Charles, IL
1780913939	Pain, Vein & Vanity Inc.	Organization	Multi-Specialty Clinic/Center	St Charles, IL
1174910061	Melissa Hasselbring	Individual	Professional Counselor	Saint Charles, IL
1255873519	Tricity Family Services	Organization	Mental Health Clinic/Center (Including Community Mental Health Center)	St Charles, IL
1568987923	Jasmine Rebuck	Individual	Clinical Social Worker	Saint Charles, IL

Verify this record

Cross-check NPI 1760679005 against the authoritative CMS record: view Kyle E Pedersen DDS PC 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-03-07. Verify at npiregistry.cms.hhs.gov.

Where is Kyle E Pedersen DDS PC located?

The practice location on file with NPPES is in St Charles, IL.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2011-03-07.