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

Dr. Kevin John Kellerman, DMD

Individual provider General Practice Dentistry · NPI 1962419317

Dr. Kevin John Kellerman, DMD is a General Practice Dentistry in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

16 Junction Dr W Ste 101
Glen Carbon, IL 62034-2996
Phone: (618) 228-3100
Fax: (618) 288-3434
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019-025862 (IL)

Record details

NPI number1962419317
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESMay 13, 2021
Certification dateMay 13, 2021
Mailing address16 Junction Dr W, Suite 101, Glen Carbon, IL 62034-2996

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