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.

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)

Practice location

16 Junction Dr W Ste 101

Glen Carbon, IL 62034-2996

Phone: (618) 288-3535

Street-level locationGet directions

More IL providers

Mailing address

16 Junction Dr W Ste 101

Glen Carbon, IL 62034-2996

Specialties & taxonomies

DentistPrimary122300000XLicense 1004560 (IL)
Dental Providers

Profile Score

Detailed profile(88/100 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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions