Individual provider · Type 1 NPI

Kevin John Kellerman, DMD

General Practice Dentistry · Glen Carbon, IL

NPI number 1962419317 Active

Practice location

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

Fax (618) 288-3434

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019-025862 (IL)

General Practice Dentistry: 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.

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About NPI 1962419317

Kevin John Kellerman, DMD's National Provider Identifier is 1962419317, issued on Aug 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Glen Carbon, IL. The record was last updated on May 13, 2021.