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Active NPI 1477818052 Individual Practitioner Male Practitioner

Dr. Kory Wallin , DMD

Dentist • Longmont, CO

Professional Overview & Biography Verified Profile Summary

Dr. Kory Wallin, DMD is a registered healthcare professional specializing in Dentist in Longmont, CO. Practice services are available at 1100 KEN PRATT BLVD STE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 Ken Pratt Blvd Ste E

Longmont, CO 805016380

Telephone 7204586684

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Longmont, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.2 Yrs
Regional Practice Density
37 Specialists

Practicing in Longmont, CO (2100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-17
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CO 10742

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address February 17, 2023

Registered at 1100 KEN PRATT BLVD UNIT E, LONGMONT, CO 80501 (Tel: 7205059422)

NPI Profile Active November 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2015

Registered at 1100 KEN PRATT BLVD STE E, LONGMONT, CO 805016380 (Tel: 7204586684)

📍
Updated Business Mailing Address November 09, 2015

Registered at 3244 SAGEWATER CT, FORT COLLINS, CO 805289471 (Tel: 7205059422)

👤
Provider Name / Credentials Updated November 09, 2015

Recorded as KORY WALLIN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2015

Dentist (License #10742 in CO)

🟢
Initial NPI Registration & Enumeration July 10, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477818052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2012
Last Update: February 17, 2023
Sole Proprietor: Yes

Mailing Address

1100 Ken Pratt Blvd Unit E

Longmont, CO 80501

Phone: 7205059422

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.