Individual
KAYLIN LORBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
799 LANCASTER DR NE STE 140, SALEM, OR 97301-5235
(503) 400-6674
Mailing address
6209 MACKENZIE VALLEY CT, SAINT LOUIS, MO 63123-3476
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00203136
CO
1223P0221X
Pediatric Dentistry
0401418856
VA
1223P0221X
Pediatric Dentistry
Primary
D12283
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336696160
—
CO
01
—
DEN.00203136
CO DENTAL LICENSE
CO
Enumeration date
09/09/2016
Last updated
01/09/2026
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