Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellerman Dental

Organization Dentist · NPI 1215102579

Kellerman Dental is a Dentist 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
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