Dr Cole Anthony Kallenbach, DMD is a
Dentist - General Practice based in Virden, Illinois. Dr Cole Anthony Kallenbach is licensed to practice in Illinois (license number 019.037203) and his current practice location is
140 E Dean St, Virden, Illinois. He can be reached at his office (for appointments etc.) via phone at
(217) 965-3032.
NPI number for Dr Cole Anthony Kallenbach is 1023943859 and his current mailing address is 730 W Dean St, Virden, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023943859.
Healthcare Provider's Profile
| Full Name | Dr Cole Anthony Kallenbach |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 140 E Dean St, Virden, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023943859
- Provider Enumeration Date: 06/15/2026
- Last Update Date: 06/15/2026
Medical Identifiers
Medical identifiers for Dr Cole Anthony Kallenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023943859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 019.037203 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Cole Anthony Kallenbach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Cole Anthony Kallenbach, DMD 730 W Dean St, Virden, IL 62690-1357 Ph: () - | Dr Cole Anthony Kallenbach, DMD 140 E Dean St, Virden, IL 62690-1446 Ph: (217) 965-3032 |
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