DR. KEVIN R HALLSTROM DDS
NPI 1174676217
Dentist - General Practice in Willmar, MN

Q: What is Kevin Hallstrom's NPI number?

The NPI number for Kevin Hallstrom is 1174676217. It was assigned to this individual provider in the NPPES registry on January 20, 2007.

Q: What is Kevin Hallstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Hallstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 20, 2007

512 BECKER AVE SW, WILLMAR, MN 56201(320) 235-2551(320) 235-0549 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kevin R Hallstrom Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN R HALLSTROM DDS (NPI 1174676217) is an individual general practice provider in Willmar, Minnesota, licensed in Minnesota (9069) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1174676217

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KEVIN R HALLSTROMCredential: DDS

Location Address512 BECKER AVE SWWillmar, MN 56201-3232

Mailing Address512 Becker Ave SwWillmar, MN 56201-3232 · (320) 235-2551 · Fax (320) 235-0549

Phone(320) 235-2551

Fax(320) 235-0549

Sole ProprietorYes

Enumeration DateJanuary 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174676217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · 9069

Definition

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.

512 BECKER AVE SW, Willmar, MN 56201

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REFLECTIONS FAMILY DENTAL

Dentist (General Practice)

512 BECKER AVE SW
WILLMAR, MN 56201

Kandiyohi County (320) 235-2551

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Hallstrom's NPI number?

The NPI number for Kevin Hallstrom is 1174676217. It was assigned to this individual provider in the NPPES registry on January 20, 2007.

Where is Kevin Hallstrom located?

Kevin Hallstrom practices at 512 Becker Ave SW, Willmar, MN 56201. The listed phone number is (320) 235-2551.

What is Kevin Hallstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kevin Hallstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.