Individual provider · Type 1 NPI
Kenneth Scott Kollmann, DMD
Pediatric Dentistry · Collinsville, IL
NPI number
1639210768
Active
Practice location
90 Crestmoor St, Spring Meadow Professional Park
Collinsville, IL 62234-4951
Fax (618) 346-8170
Mailing address
21 Willow Trl
Collinsville, IL 62234-6867
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
About NPI 1639210768
Kenneth Scott Kollmann, DMD's National Provider Identifier is 1639210768, issued on Feb 10, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Collinsville, IL. The record was last updated on Jul 8, 2007.