Organization
KENNETH S. KOLLMANN, D.M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE A. WHITESIDE (OFFICE MANAGER)
(618) 346-8000
Entity
Organization
Contact information
Practice address
90 CRESTMOOR ST, SPRING MEADOW PROFESSIONAL PARK, COLLINSVILLE, IL 62234-4951
(618) 346-8000
(618) 346-8170
Mailing address
90 CRESTMOOR ST, SPRING MEADOW PROFESSIONAL PARK, COLLINSVILLE, IL 62234-4951
(618) 346-8000
(618) 346-8170
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
IL
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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