Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES CLARK KALLSTROM, D.D.S.

Active

DR. CHARLES CLARK KALLSTROM, D.D.S. is a General Dentistry healthcare provider located in GENEVA, Illinois. NPI 1396847828 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · GENEVA, IL

Registration Details

NPI Number: 1396847828
Provider Type: Individual
Gender: Male
NPI Issued: Sep 4, 2006 (19.974380619229 yrs)
Last Updated: Jul 8, 2007
License: 19014085 (IL)

Practice Information

Address: 302 RANDALL RD

SUITE # 105

GENEVA, IL, 601344209
Browse IL providers · Browse ZIP 60134
Phone: 6302327385
Fax: 6302327389
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in GENEVA, IL

Name	Credential	NPI
DR. TIMOTHY EMERSON SKIDMORE	D.D.S	1033109954
DR. RYAN JAMES MCCALL	DDS	1134142789
DR. STEPHEN JOHN LAVRISA	D.D.S.	1073527263
GARY E KRUEGER	D.D.S., P.C.	1245339233
DR. TIMOTHY J DRISCOLL	DDS	1295801611
DR. JOHN RONALD COOK	DDS	1073680138

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.