DR. KENNETH JAY COLLEN DDS NPI 1053648865

NPI Information

  • NPI: 1053648865
  • Provider Name: DR. KENNETH JAY COLLEN, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 1250 N MILL ST
    NAPERVILLE, IL
    ZIP 60563
  • Phone: (630) 355-7400

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NPI Details

DR. Kenneth Jay Collen, DDS is a general practice dentist in Naperville, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Kenneth Jay Collen, DDS NPI is 1053648865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1250 N MILL ST
NAPERVILLE, IL
ZIP 60563-304
Phone: (630) 355-7400
Fax: (630) 355-7428

The enumeration date for this NPI number is 11/16/2009 and was last updated on 11/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice019-016746ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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