Kyle Pettersen, DDS - Dentist in Lilburn, GA

Kyle Pettersen, DDS is a Dentist - General Practice based in Lilburn, Georgia. Kyle Pettersen is licensed to practice in Georgia (license number DN016137) and his current practice location is 609 Beaver Ruin Rd Nw # A, Lilburn, Georgia. He can be reached at his office (for appointments etc.) via phone at (678) 606-9407.

NPI number for Kyle Pettersen is 1275849986 and his current mailing address is 207 13th St Ne Apt 2306, Atlanta, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275849986.

Contact Information

Kyle Pettersen, DDS
609 Beaver Ruin Rd Nw # A,
Lilburn, GA 30047-3401
(678) 606-9407
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKyle Pettersen
GenderMale
SpecialityDentist - General Practice
Location609 Beaver Ruin Rd Nw # A, Lilburn, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275849986
  • Provider Enumeration Date: 08/19/2010
  • Last Update Date: 03/26/2021

Medical Identifiers

Medical identifiers for Kyle Pettersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275849986NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 0025983 (Texas)Secondary
1223G0001XDentist - General Practice 59547 (California)Secondary
1223G0001XDentist - General Practice DN016137 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Pettersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kyle Pettersen, DDS
207 13th St Ne Apt 2306,
Atlanta, GA 30309-4611

Ph: (561) 715-3397
Kyle Pettersen, DDS
609 Beaver Ruin Rd Nw # A,
Lilburn, GA 30047-3401

Ph: (678) 606-9407

Reviews and Comments


Dentist in Lilburn, GA

Dr. Thaddeus Harvey Jr., DDS
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Phone: 770-923-1814    
Dr. Jeremy Robert Smith, D.M.D.
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Phone: 770-921-6606    
Dr. Harry W Mccool, DDS
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Medicare: Medicare Enrolled
Practice Location: 645 A Beaver Ruin Rd, Lilburn, GA 30047
Phone: 770-381-9320    Fax: 770-381-9490
Dr. Letoiya Marie Carter-robinson, D.D.S.
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Medicare: Not Enrolled in Medicare
Practice Location: 609 Beaver Ruin Rd Nw Ste B, Lilburn, GA 30047
Phone: 770-925-3300    
Emma Deal,
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Medicare: Not Enrolled in Medicare
Practice Location: 4150 Five Forks Trickum Rd Sw, Lilburn, GA 30047
Phone: 770-717-7225    
Dr. Rishi R Kapur, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 4150 Five Forks Trickum Rd, Suite 1, Lilburn, GA 30047
Phone: 770-717-7225    Fax: 770-717-7228
Dr. Stuart Chastain Knight, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5400 Lawrenceville Hwy Nw Ste D, Lilburn, GA 30047
Phone: 678-368-4396    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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