Kellerman Dental is a Dental Clinic in Glen Carbon, Illinois. It is located at 16 Junction Dr W Ste 101, Glen Carbon, IL and its contact number is 618-288-3535. The authorized person for Kellerman Dental is Kevin J Kellerman
who is Doctor of the clinic and their contact number is 618-288-3535. The primary license number for Kellerman Dental is 1004560 (Dentist) in Illinois. Kellerman Dental Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Kellerman Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Kellerman Dental
Specialization:
Dentistry
Clinic Address:
16 Junction Dr W Ste 101, Glen Carbon, Illinois, 62034-2996
Phone:
618-288-3535
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Kevin J Kellerman
Position:
Doctor
Contact Number:
618-288-3535
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kellerman Dental clinic are as mentioned below.
NPI Number:
1215102579
NPI Enumeration Date:
28 Apr, 2008
NPI Last Update On:
28 Apr, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kellerman Dental are as mentioned below.
Specialization
License Number
State
Status
Dentist
1004560
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
108441
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kellerman Dental 16 Junction Dr W Ste 101, Glen Carbon, Illinois
Zip:
62034-2996
Phone Number:
618-288-3535
Patients can reach Kellerman Dental at 16 Junction Dr W Ste 101, Glen Carbon, Illinois or can call to book an appointment on 618-288-3535. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.