Kellerman Dental Group, PC
NPI #1538543582 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1538543582
- Entity Type
- Organization
- Organization Name
- Kellerman Dental Group, PC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Jul 18, 2015
- Last Updated
- Jul 18, 2015
Practice Location
- Address
- 16 JUNCTION DR W STE 101
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-2996
- Phone
- (618) 288-3535
Authorized Official
- Name
- DR. KEVIN J KELLERMAN, DMD
- Title
- PRESIDENT
- Phone
- (618) 288-3535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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