Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH SCOTT KOLLMANN, D.M.D.
Active Sole ProprietorDR. KENNETH SCOTT KOLLMANN, D.M.D. is a Pediatric Dentistry healthcare provider located in COLLINSVILLE, Illinois. NPI 1639210768 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · COLLINSVILLE, IL
Registration Details
- NPI Number
- 1639210768
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2007 (19.535024323916 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
90 CRESTMOOR STSPRING MEADOW PROFESSIONAL PARKCOLLINSVILLE, IL, 622344951Browse IL providers · Browse ZIP 62234
- Phone
- 6183468000
- Fax
- 6183468170
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.