| Dayspring Pediatric Dentistry | |
|
2570 Foxfield Rd Ste 203 St Charles IL 60174-1406 | |
| (630) 587-4444 | |
| (630) 587-5811 |
| Full Name | Dayspring Pediatric Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2570 Foxfield Rd, St Charles, Illinois |
| Authorized Official Name and Position | Kyle E Pedersen (OWNER) |
| Authorized Official Contact | 6305874444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dayspring Pediatric Dentistry 2570 Foxfield Rd Ste 203 St Charles IL 60174-1406 Ph: (630) 587-4444 | Dayspring Pediatric Dentistry 2570 Foxfield Rd Ste 203 St Charles IL 60174-1406 Ph: (630) 587-4444 |
| NPI Number | 1760679005 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 03/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760679005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 021001694 (Illinois) | Primary |
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