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DR. CHARLES CLARK KALLSTROM D.D.S.
NPI 1396847828
Dentist - General Practice in Geneva, IL

Active since September 04, 2006
302 RANDALL RD, SUITE # 105, GENEVA, IL 60134(630) 232-7385(630) 232-7389 Get Directions Write a Review

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

About Dr. Charles Clark Kallstrom D.d.s. NPPES

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

DR. CHARLES CLARK KALLSTROM D.D.S. (NPI 1396847828) is an individual general practice provider in Geneva, Illinois, licensed in Illinois (19014085) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1396847828
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHARLES CLARK KALLSTROMCredential: D.D.S.
Location Address302 RANDALL RD, SUITE # 105Geneva, IL 60134-4209
Mailing Address302 Randall Rd, Suite # 105Geneva, IL 60134-4209 · (630) 232-7385 · Fax (630) 232-7389
Phone(630) 232-7385
Fax(630) 232-7389
Sole ProprietorNo
Enumeration DateSeptember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396847828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 19014085
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.
302 RANDALL RD, Geneva, IL 60134
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Other Providers at the Same Location NPPES 20

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

KRISTINA NICHOLE BUSTAMANTE PHD, MA, BS, CCC-SLP
Speech-Language Pathologist
302 RANDALL RD
GENEVA, IL 60134
Kane County (630) 938-3637
TIFFANY A. KARAS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
302 RANDALL RD
GENEVA, IL 60134
Kane County (630) 208-6775
ELISA A HOFMANN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
302 RANDALL RD
GENEVA, IL 60134
Kane County (630) 208-6775
DR. ROBERT RICHARD RIVERS M.D.
Family Medicine
302 RANDALL RD, SUITE 202
GENEVA, IL 60134
Kane County (630) 232-1818
DR. KEITH GORDEY MD
Internal Medicine (Pulmonary Disease)
302 RANDALL RD, STE 309
GENEVA, IL 60134
Kane County (630) 232-0202
SHANNON MAUREEN SULLIVAN
Speech-Language Pathologist
302 RANDALL RD
GENEVA, IL 60134
Kane County (630) 208-3000
LEE LICHTENBERG MD
Internal Medicine (Rheumatology)
302 RANDALL RD
GENEVA, IL 60134
Kane County (630) 232-2391
STEVEN J. BIELSKI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
302 RANDALL RD
GENEVA, IL 60134
Kane County (630) 208-6775

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 Charles Kallstrom's NPI number?

The NPI number for Charles Kallstrom is 1396847828. It was assigned to this individual provider in the NPPES registry on September 4, 2006.

Where is Charles Kallstrom located?

Charles Kallstrom practices at 302 Randall Rd Suite # 105, Geneva, IL 60134. The listed phone number is (630) 232-7385.

What is Charles Kallstrom'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 Charles Kallstrom 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.