Kellerman Dental Group, PC
Kellerman Dental Group, PC provides Customized Equipment (DME) in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
16 Junction Dr W Ste 101Glen Carbon, IL 62034-2996 Not confirmed with CMS for 11 years — call before visiting
Phone: (618) 288-3535
Fax: (618) 288-3434
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X · Licence 019025862 (IL) |
|---|
Record details
| NPI number | 1538543582 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Kellerman — President · (618) 288-3535 |
| Other names | Kellerman Cosmetic And Family Dentistry |
| NPI enumerated | July 18, 2015 |
| Last updated in NPPES | July 18, 2015 |
| Mailing address | 16 Junction Dr W Ste 101, Glen Carbon, IL 62034-2996 |