Doctor profile · Federal record
Dr. Lyle Kelstrom, DDS
General Practice Dentistry · Dentist · Vancouver, WA
- NPI 1356567333
- 19 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
6202 Ne Highway 99, #5
Vancouver, WA 986658747
(360) 693-2592
fax (360) 750-7939 - Additional location
-
118 S Parkway Ave
Battle Ground, WA 986049215
(360) 342-8050
fax (360) 342-8045
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- February 21, 2025
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Washington #DE00004874
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1356567333. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$25
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Kulzer, LLC | 1 | $24.84 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
14
Patients
13
Total drug cost
$81
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 14 | 13 | $81 |
Frequently asked questions
What is Dr. Lyle Kelstrom's medical specialty?
Dr. Lyle Kelstrom practices General Practice Dentistry in Vancouver, WA.
Where does Dr. Lyle Kelstrom practice?
Dr. Lyle Kelstrom practices at 6202 Ne Highway 99, Vancouver, WA 986658747. Office phone: 3606932592.
What is Dr. Lyle Kelstrom's NPI?
Dr. Lyle Kelstrom's National Provider Identifier (NPI) is 1356567333, issued by NPPES.