1. Home
  2. Directory
  3. Colorado
  4. Longmont
  5. Dentist
  6. NPI Profile

KORY WALLIN DMD
NPI 1477818052
Dentist in Longmont, CO

Active since July 10, 2012
1100 KEN PRATT BLVD STE E, LONGMONT, CO 80501(720) 458-6684 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 17, 2023, Nov 9, 2015 (2 updates tracked since 2015).

About Kory Wallin Dmd NPPES

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

KORY WALLIN DMD (NPI 1477818052) is an individual dentist in Longmont, Colorado, licensed in Colorado (10742) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1477818052
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKORY WALLINCredential: DMD
Location Address1100 KEN PRATT BLVD STE ELongmont, CO 80501-6380
Mailing Address1100 Ken Pratt Blvd Unit ELongmont, CO 80501 · (720) 505-9422
Phone(720) 458-6684
Sole ProprietorYes
Enumeration DateJuly 10, 2012
Last NPPES UpdateFebruary 17, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
✔ NPI 1477818052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CO · 10742
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1100 KEN PRATT BLVD STE E, Longmont, CO 80501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Kory Wallin's NPI number?

The NPI number for Kory Wallin is 1477818052. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Kory Wallin located?

Kory Wallin practices at 1100 Ken Pratt Blvd Ste E, Longmont, CO 80501. The listed phone number is (720) 458-6684.

What is Kory Wallin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kory Wallin accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Kory Wallin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kory Wallin was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.