Kory Wallin, DMD

Dentist · Longmont, CO

Individual Active NPI

NPI number 1477818052

Practice location

1100 Ken Pratt Blvd Ste E
Longmont, CO 80501-6380
Phone
(720) 458-6684

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NPI record

NPI
1477818052
Entity type
Individual (Type 1)
Enumeration date
July 10, 2012
Last updated
February 17, 2023
Certified
February 17, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 10742 CO

Mailing address

1100 Ken Pratt Blvd Unit E
Longmont, CO 80501
Phone
(720) 505-9422

About Dr. Wallin

Kory Wallin, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1100 Ken Pratt Blvd Ste E, Longmont, CO 80501-6380. The NPI number 1477818052 was assigned on July 10, 2012 and the record was last updated on February 17, 2023.

Dr. Wallin lists a license in the registry: #10742 (CO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kory Wallin, DMD?

The NPI number is 1477818052.

What is the phone number of Dr. Wallin?

The phone number listed for the practice location is (720) 458-6684.

Where is Dr. Wallin located?

1100 Ken Pratt Blvd Ste E, Longmont, CO 80501-6380.

What is the taxonomy code for Dr. Wallin?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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