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

Dr. Lyle Duane Kelstrom, DDS

Individual provider Dentist · NPI 1356567333

Dr. Lyle Duane Kelstrom, DDS is a Dentist in Vancouver, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2007
Specialties on file
2
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.

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Practice location Address checks out

6202 NE Highway 99 #5
Vancouver, WA 98665-8747
Phone: (360) 693-2592
Fax: (360) 750-7939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 118 S Parkway Ave, Battle Ground, WA 98604-9215 — (360) 342-8050

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DE00004874 (WA)
Dentist Taxonomy 122300000X · Licence DE00004874 (WA)

Record details

NPI number1356567333
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 18, 2007
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025
Mailing address6202 Ne Highway 99, 5, Vancouver, WA 98665-8747

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