Organization · Type 2 NPI

Kellerman Dental

Dentist · Glen Carbon, IL

NPI number 1215102579 Active

Practice location

16 Junction Dr W Ste 101
Glen Carbon, IL 62034-2996

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X1004560 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1215102579

Kellerman Dental's National Provider Identifier is 1215102579, issued on Apr 28, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Glen Carbon, IL. The record was last updated on Apr 28, 2008.