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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRYSTAL LAKE FAMILY DENTAL

Active Organization

CRYSTAL LAKE FAMILY DENTAL is a General Dentistry organization located in CRYSTAL LAKE, Illinois. NPI 1154761492 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CRYSTAL LAKE, IL

Registration Details

NPI Number
1154761492
Provider Type
Organization
NPI Issued
Jul 1, 2013 (13.1349687108 yrs)
Last Updated
Jul 1, 2013

Practice Information

Address
651 W TERRA COTTA AVE
SUITE 201
CRYSTAL LAKE, IL, 600143404
Browse IL providers · Browse ZIP 60014
Phone
6303393172
Fax
8478916775
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.