person
Kyle Pettersen, DDS
General Practice Dentistry in Lilburn, Georgia
NPI 1275849986

Kyle Pettersen is a General Practice Dentistry based in Atlanta, GA and is specialized in General Practice. Kyle Pettersen practices in Lilburn, GA and has the professional credentials of DDS. The NPI Number for Kyle Pettersen is 1275849986 and holds a License No. 0025983 (Georgia).

The current practice location address for Kyle Pettersen is 609 Beaver Ruin Rd Nw # A, Lilburn, GA and can be reached out via phone at 678-606-9407.

Location: 609 Beaver Ruin Rd Nw # A, Lilburn, GA, 30309-4611
person
Provider Profile Details
NPI Number
1275849986
Provider Name
Kyle Pettersen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
609 Beaver Ruin Rd Nw # A, Lilburn, GA, 30309-4611
Phone Number
678-606-9407
Fax Number
Provider Enumeration Date
08/19/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
609 Beaver Ruin Rd Nw # A
City
State
Zip
30047-3401
Phone Number
678-606-9407
Fax Number
person
Provider Business Mailing Address Details
Address
609 Beaver Ruin Rd Nw # A
City
State
Zip
30047-3401
Phone Number
678-606-9407
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
0025983 (Texas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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