Kyle Pettersen, DDS
General Practice Dentistry · Palm Springs, FL
Practice location
3401 S Congress Ave Ste 206Palm Springs, FL 33461-3066
- Phone
- (561) 366-2222
NPI record
- NPI
- 1275849986
- Entity type
- Individual (Type 1)
- Enumeration date
- August 19, 2010
- Last updated
- April 19, 2026
- Certified
- April 19, 2026
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DN016137 | GA |
| General Practice Dentistry | 1223G0001X |
59547 | CA |
| General Practice Dentistry | 1223G0001X |
0025983 | TX |
About Dr. Pettersen
Kyle Pettersen, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3401 S Congress Ave Ste 206, Palm Springs, FL 33461-3066. The NPI number 1275849986 was assigned on August 19, 2010 and the record was last updated on April 19, 2026.
Dr. Pettersen lists 3 licenses in the registry: #DN016137 (GA) for General Practice Dentistry; #59547 (CA) for General Practice Dentistry; #0025983 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kyle Pettersen, DDS?
The NPI number is 1275849986.
What is the phone number of Dr. Pettersen?
The phone number listed for the practice location is (561) 366-2222.
Where is Dr. Pettersen located?
3401 S Congress Ave Ste 206, Palm Springs, FL 33461-3066.
What is the taxonomy code for Dr. Pettersen?
The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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