Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles Clark Kallstrom, DDS

Individual provider General Practice Dentistry · NPI 1396847828

Dr. Charles Clark Kallstrom, DDS is a General Practice Dentistry in Geneva, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

302 Randall Rd Ste # 105
Geneva, IL 60134-4209
Phone: (630) 232-7385
Fax: (630) 232-7389
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19014085 (IL)

Record details

NPI number1396847828
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 4, 2006
Last updated in NPPESJuly 8, 2007
Mailing address302 Randall Rd, Suite # 105, Geneva, IL 60134-4209

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