Active NPIOrganization

Crystal Lake Dental PC

Dentist, General Practice in Wakefield, Massachusetts

NPI Number1700059441
Practice location
725 Main St, Wakefield, MA 01880-5206
Fax
781-245-7403
Last updated
June 15, 2008

Crystal Lake Dental PC is a healthcare organization based in Wakefield, MA. Crystal Lake Dental PC practices in Wakefield, MA. The NPI Number for Crystal Lake Dental PC is 1700059441 and holds a License No. 20641 (MA). The current practice location address for Crystal Lake Dental PC is 725 Main St, Wakefield, MA 01880-5206 and can be reached out via phone at 781-245-6966 and via fax at 781-245-7403.

Provider Profile Details

NPI Number
1700059441
Provider Name
Crystal Lake Dental PC
Provider Entity Type
Organization
Address
725 Main St, Wakefield, MA 01880-5206
Phone Number
781-245-6966
Fax Number
781-245-7403
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Csilla Gyurko, DMD · Owner · 781-245-6966
Provider Enumeration Date
April 2, 2008
Last Update Date
June 15, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
725 Main St
Wakefield, MA 01880-5206
Zip
01880-5206
Phone Number
781-245-6966
Fax Number
781-245-7403
Wakefield, MA 01880Get directions →

Provider Business Mailing Address Details

Address
725 Main St
Wakefield, MA 01880-5206
City
Wakefield
State
MA
Zip
01880-5206
Phone Number
781-245-6966
Fax Number
781-245-7403

License Information

License Number
20641
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Crystal Lake Dental PC?

The NPI number of Crystal Lake Dental PC is 1700059441. It was assigned on April 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Crystal Lake Dental PC?

Crystal Lake Dental PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20641.

Where does Crystal Lake Dental PC practice?

The practice location is 725 Main St, Wakefield, MA 01880-5206. The office can be reached at 781-245-6966 (phone) or 781-245-7403 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700059441 directly on the NPPES registry website.

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