IndividualActive
Philip Kepp, DDS
NPI 1063446128 · General Practice Dentistry · Mattoon, IL
Philip Kepp, DDS is a General Practice Dentistry provider in Mattoon, IL (NPI 1063446128).
Provider details
- NPI number
- 1063446128
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
Practice location
601 Broadway Ave
Mattoon, IL 61938-4340
Phone: (217) 235-0556
Fax: (217) 234-7243
Street-level locationGet directions
Mailing address
601 Broadway Ave
Mattoon, IL 61938-4340
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.