Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kellerman Dental

Organization Dentist · NPI 1215102579

Kellerman Dental provides Dentist services in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

16 Junction Dr W Ste 101
Glen Carbon, IL 62034-2996 Not confirmed with CMS for 18 years — call before visiting
Phone: (618) 288-3535
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1004560 (IL)

Record details

NPI number1215102579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Kellerman — Doctor · (618) 288-3535
NPI enumeratedApril 28, 2008
Last updated in NPPESApril 28, 2008
Mailing address16 Junction Dr W Ste 101, Glen Carbon, IL 62034-2996

Other providers in Glen Carbon