Doctor profile · Federal record
Dr. Kevin Kellerman, D.M.D.
General Practice Dentistry · Glen Carbon, IL
- NPI 1962419317
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
16 Junction Dr W, Suite 101
Glen Carbon, IL 620342996
(618) 228-3100
fax (618) 288-3434
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- May 13, 2021
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Illinois #019-025862
- Medicaid
- IL #108441
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1962419317. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$623
Transactions
15
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Straumann USA LLC | 1 | $290.31 | |
| Hu-Friedy Mfg. Co., LLC | 1 | $125.94 | |
| PATTERSON COMPANIES, INC. | 3 | $94.94 | |
| Align Technology, Inc. | 7 | $73.29 | |
| Envista Holdings Corporation | 1 | $19.61 | |
| Dentsply Sirona Inc | 1 | $16.13 | |
| Ultradent Products Inc | 1 | $3.03 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
26
Patients
22
Total drug cost
$79
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 26 | 22 | $79 |
Frequently asked questions
What is Dr. Kevin Kellerman's medical specialty?
Dr. Kevin Kellerman practices General Practice Dentistry in Glen Carbon, IL.
Where does Dr. Kevin Kellerman practice?
Dr. Kevin Kellerman practices at 16 Junction Dr W, Glen Carbon, IL 620342996. Office phone: 6182283100.
What is Dr. Kevin Kellerman's NPI?
Dr. Kevin Kellerman's National Provider Identifier (NPI) is 1962419317, issued by NPPES.