OrganizationActive
Kellerman Dental
NPI 1215102579 · Dentist · Glen Carbon, IL
Kellerman Dental is a Dentist organization in Glen Carbon, IL (NPI 1215102579).
Provider details
- NPI number
- 1215102579
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Kellerman, Doctor(618) 288-3535
- License
- 1004560 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16 Junction Dr W Ste 101
Glen Carbon, IL 62034-2996
Phone: (618) 288-3535
Street-level locationGet directions
Mailing address
16 Junction Dr W Ste 101
Glen Carbon, IL 62034-2996
Registry dates
- Enumerated
- 2008-04-28
- Last updated
- 2008-04-28
Frequently asked questions
- What is Kellerman Dental's NPI number?
- Kellerman Dental's National Provider Identifier (NPI) is 1215102579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kellerman Dental?
- Kellerman Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Kellerman Dental located?
- Kellerman Dental's practice location on file with NPPES is 16 Junction Dr W Ste 101, Glen Carbon, IL 62034-2996.
- What is Kellerman Dental's phone number?
- The practice phone number listed in the NPPES registry for Kellerman Dental is (618) 288-3535.
- Who is the authorized official for Kellerman Dental?
- The authorized official listed on Kellerman Dental's NPPES record is Kevin Kellerman, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kellerman Dental's NPI active?
- Yes — Kellerman Dental's NPI (1215102579) is active in the NPPES registry as of the last update on 2008-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.