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KENNETH S. KOLLMANN, D.M.D.,P.C.
NPI 1588792980
Dentist - Pediatric Dentistry in Collinsville, IL

Active since February 28, 2007
90 CRESTMOOR ST, SPRING MEADOW PROFESSIONAL PARK, COLLINSVILLE, IL 62234(618) 346-8000(618) 346-8170 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kenneth S. Kollmann, D.m.d.,p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH S. KOLLMANN, D.M.D.,P.C. (NPI 1588792980) is a healthcare organization registered as a pediatric dentistry in Collinsville, Illinois and active in the NPI registry since February 2007. The organization lists Sue A. Whiteside, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1588792980
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKENNETH S. KOLLMANN, D.M.D.,P.C.
Location Address90 CRESTMOOR ST, SPRING MEADOW PROFESSIONAL PARKCollinsville, IL 62234-4951
Mailing Address90 Crestmoor St, Spring Meadow Professional ParkCollinsville, IL 62234-4951 · (618) 346-8000 · Fax (618) 346-8170
Phone(618) 346-8000
Fax(618) 346-8170
Organization SubpartNo
Authorized OfficialSue A. WhitesideOffice Manager · (618) 346-8000
Enumeration DateFebruary 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1588792980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
90 CRESTMOOR ST, Collinsville, IL 62234
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLLINSVILLE PEDIATRIC DENTISTRY PLLC
Dentist (Pediatric Dentistry)
90 CRESTMOOR ST
COLLINSVILLE, IL 62234
Madison County (618) 346-8000
DR. KENNETH SCOTT KOLLMANN D.M.D.
Dentist (Pediatric Dentistry)
90 CRESTMOOR ST, SPRING MEADOW PROFESSIONAL PARK
COLLINSVILLE, IL 62234
Madison County (618) 346-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth S. Kollmann, D.M.D.,p.C.'s NPI number?

The NPI number for Kenneth S. Kollmann, D.M.D.,p.C. is 1588792980. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Kenneth S. Kollmann, D.M.D.,p.C. located?

Kenneth S. Kollmann, D.M.D.,p.C. is located at 90 Crestmoor St Spring Meadow Professional Park, Collinsville, IL 62234. The listed phone number is (618) 346-8000.

What is Kenneth S. Kollmann, D.M.D.,p.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Kenneth S. Kollmann, D.M.D.,p.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.