location
search-icon
person
Dr. Kevin John Kellerman, DMD
General Practice Dentistry in Glen Carbon, Illinois
NPI 1962419317

Kevin John Kellerman is a General Practice Dentistry based in Glen Carbon, IL and is specialized in General Practice. Kevin John Kellerman practices in Glen Carbon, IL and has the professional credentials of DMD. The NPI Number for Kevin John Kellerman is 1962419317 and holds a License No. 019-025862 (Illinois).

The current practice location address for Kevin John Kellerman is 16 Junction Dr W, Glen Carbon, IL and can be reached out via phone at 618-228-3100 and via fax at 618-288-3434.

Location: 16 Junction Dr W, Glen Carbon, IL, 62034-2996
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962419317
Provider Name
Kevin John Kellerman
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
16 Junction Dr W, Glen Carbon, IL, 62034-2996
Phone Number
618-228-3100
Fax Number
618-288-3434
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
108441 05 IL
institution
Provider Business Practice Location Address Details
Address
16 Junction Dr W
City
Glen Carbon
State
Illinois
Zip
62034-2996
Phone Number
618-228-3100
Fax Number
618-288-3434
person
Provider Business Mailing Address Details
Address
16 Junction Dr W
City
Glen Carbon
State
Illinois
Zip
62034-2996
Phone Number
618-228-3100
Fax Number
618-288-3434
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019-025862 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.