CRYSTAL FAMILY DENTAL (NPI# 1750747978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750747978 |
| Entity Type | Organization |
| Organization Name | CRYSTAL FAMILY DENTAL |
| Practice Address |
2405 Essington Rd Suite D Joliet IL 60435-1200 |
| Practice Telephone | 8154391270 |
| Practice Fax Number | 8154393508 |
| Mailing Telephone | 8154391270 |
| Mailing Fax Number | 8154393508 |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |
| Authorized Official Name | MISS JASMINE N HARVALA (OFFICE MANAGER) |
| Authorized Official Telephone | 8154391270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019027616 | IL | Dental Providers |
| Street Address |
2405 ESSINGTON RD SUITE D |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881663375 | Chirohealthcare, Ltd. | Chiropractor | 2405 Essington Rd, Suite J, Joliet, IL 60435-1200 | 2006-03-16 |
| 1427169309 | Mark Alan Sloan | Dentist | 2405 Essington Rd, Suite D, Joliet, IL 60435-1200 | 2006-08-31 |
| 1285740324 | Maryse Beaudouin Derosena | Dietitian, Registered | 2405 Essington Rd, Suite # 80, Joliet, IL 60435-1200 | 2006-08-22 |
| 1831168046 | Michael T Rager | Chiropractor | 2405 Essington Rd, Suite J, Joliet, IL 60435-1200 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306362389 | Craigory James Raino | Dentist | 2901 Plainfield Rd Ste A, Joliet, IL 60435-1129 | 2017-08-21 |
| 1922547264 | Shining Smiles 4, Inc | Dentist | 110 N Larkin Ave, Joliet, IL 60435-6603 | 2017-02-20 |
| 1619385101 | Metrosmiles - Joliet Dental PC | Dentist | 2625 W Jefferson St, Joliet, IL 60435-6432 | 2014-07-28 |
| 1700207594 | Innovative Orthodontics | Dentist | 1000 W Jefferson St Ste 101, Joliet, IL 60435-6812 | 2013-12-20 |
| 1902191208 | Sara Anwar | Dentist | 1502 Kempton St, Joliet, IL 60431-8077 | 2011-06-14 |
| 1639486053 | Patel&patel D.d.s Ltd | Dentist | 1507 1/2 W Jefferson St, Joliet, IL 60435-6765 | 2010-09-07 |
| 1699917153 | Krishan Dental Limited | Dentist | 825 Plainfield Rd, Joliet, IL 60435-5900 | 2009-03-30 |
| 1265684674 | Rudolf C Paolucci | Dentist | 202 North Hammes Avenue Suite B, Joliet, IL 60435 | 2008-10-16 |
| 1235302910 | Royal Dental | Dentist | 2713 Black Road, Joliet, IL 60435 | 2008-04-02 |
| 1487857496 | Thomas J Streitz | Dentist | 1711 Campbell St, Joliet, IL 60435-6709 | 2007-06-07 |
| Find all providers in JOLIET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.