Pettersen, Kyle

Pettersen, Kyle is an sole proprietor health care provider with primary practice located at 3401 S Congress Ave Ste 206 , Palm Springs FL 33461-3066. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pettersen, Kyle can be contacted via phone (561) 366-2222.

Contact Information

Primary practice address
3401 S Congress Ave Ste 206 Palm Springs FL 33461-3066
Phone: (561) 366-2222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 59547 California
Dental Providers / General Practice 1223G0001X DN016137 Georgia
Dental Providers / General Practice 1223G0001X 0025983 Texas

Profile Details

NPI number 1275849986
LBN Legal business name Pettersen, Kyle
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2010
Last updated Apr 19th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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