OrganizationActive
Kellerman Dental Group, PC
NPI 1538543582 · Customized Equipment (DME) · Glen Carbon, IL
Kellerman Dental Group, PC is a Customized Equipment (DME) organization in Glen Carbon, IL (NPI 1538543582).
Provider details
- NPI number
- 1538543582
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Kevin Kellerman, President(618) 288-3535
- License
- 019025862 (IL)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Fax: (618) 288-3434
Street-level locationGet directions
Mailing address
16 Junction Dr W Ste 101
Glen Carbon, IL 62034-2996
Other names (DBA / former)
- Doing business as
- Kellerman Cosmetic and Family Dentistry
Registry dates
- Enumerated
- 2015-07-18
- Last updated
- 2015-07-18
Frequently asked questions
- What is Kellerman Dental Group, PC's NPI number?
- Kellerman Dental Group, PC's National Provider Identifier (NPI) is 1538543582, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kellerman Dental Group, PC?
- Kellerman Dental Group, PC is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Kellerman Dental Group, PC located?
- Kellerman Dental Group, PC's practice location on file with NPPES is 16 Junction Dr W Ste 101, Glen Carbon, IL 62034-2996.
- What is Kellerman Dental Group, PC's phone number?
- The practice phone number listed in the NPPES registry for Kellerman Dental Group, PC is (618) 288-3535.
- Who is the authorized official for Kellerman Dental Group, PC?
- The authorized official listed on Kellerman Dental Group, PC's NPPES record is Kevin Kellerman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kellerman Dental Group, PC's NPI active?
- Yes — Kellerman Dental Group, PC's NPI (1538543582) is active in the NPPES registry as of the last update on 2015-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.