Donald C. Kellner DDS-Wood Dale PC
Organization Active NPI Dentist · Wood Dale, IL
NPI 1013283985 · NPPES record last updated Mar 26, 2012
Key facts
- NPI
- 1013283985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 019017632 (IL)
- Legal business name
- DONALD C. KELLNER DDS-WOOD DALE PC
- Practice address
- 333 North Wood Dale Rd
Suite a
Wood Dale, IL 60191 - Phone
- (630) 860-9100
- Fax
- (630) 787-0662
- NPI assigned
- Mar 26, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- DONALD C. KELLNER DDS-WOOD DALE PC
Authorized official
- Name
- Dr. Donald C. Kellner, DDS
- Title
- Owner/Dentist
- Phone
- (630) 860-9100
Practitioners 1
-
Donald Craig Kellner, DDS
National Provider Directory
- Part of
- Donald C Kellner DDS-Wood Dale PC
Locations
333 N Wood Dale Rd
Ste A
Wood Dale, IL 60191
Phone (630) 860-9100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 019017632 | IL | Yes |
| Dentist |
122300000X | 019024905 | IL | |
| Dentist |
122300000X | 019026111 | IL | |
| Dentist |
122300000X | 019028094 | IL | |
| Dentist |
122300000X | 021001200 | IL |
Addresses
Primary practice location
333 North Wood Dale Rd
Suite a
Wood Dale, IL 60191
Mailing address
333 North Wood Dale Rd
Suite a
Wood Dale, IL 60191
Phone (630) 860-9100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019017632 | Medicaid | IL |
Other providers in Wood Dale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.