CRYSTAL WELLS


Address: 25473 Briar Dr, Oak Park, MI 48237-1334
Phone: 7342602601

CRYSTAL WELLS (NPI# 1902281058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902281058
Entity Type Individual
Full Name CRYSTAL WELLS
Practice Address 25473 Briar Dr
Oak Park
MI 48237-1334
Practice Telephone 7342602601
Enumeration Date 2015-07-29
Last Update Date 2015-07-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 2902016729 MI Dental Providers

Other Providers CRYSTAL WELLS

NPI Name Taxonomy Address Enumeration
1881159549 Crystal Wells Behavior Technician 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 2019-02-07
1770009326 Crystal Wells Nurse Practitioner 39 Brentwood Rd, Bay Shore, NY 11706-8031 2017-08-16

Office Location

Street Address 25473 BRIAR DR
City OAK PARK
State MI
Zip Code 48237-1334

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699395459 Kroger Co of Michigan Durable Medical Equipment & Medical Supplies 25940 Greenfield Rd, Oak Park, MI 48237 2020-04-22
1497397202 Kimberly Wallace Md PC Clinic/Center 12900 W 9 Mile Road, Oak Park, MI 48237 2019-10-14
1174009211 Jo-anne Spencer Woodard Social Worker 23300 Greenfield, Suite 122, Oak Park, MI 48237 2018-07-12
1285163600 Yolanda Alicia Winters-byrdo Social Worker 18712 Quarry Rd., Riverview, MI 48237 2017-06-08
1972059699 Cynthia F Lewis Technician, Other 15251 Kenwood St., Oak Park, MI 48237 2016-09-01
1083039531 Tema Pefok Home Health Aide 21930 Harding St, Oak Park, MI 48237 2014-02-20
1073937116 A1 Home Help Services Home Health 21700 Green Field Road, 253, Oak Park, MI 48237 2014-02-10
1629346648 Mitun Chablani Physical Therapist 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 2011-12-05
1841575891 Hazy Mindful Care Giving Agency Inc Hospice Care, Community Based 21700 Greenfield, Ste 264, Oakpark, MI 48237 2011-10-20
1710101688 Andrew Hardy Jr. Internal Medicine 22100 Greenfield Road, Oak Park, MI 48237 2007-04-12
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588021489 Sonya Williams Dental Hygienist 24270 Kenosha St, Oak Park, MI 48237-1514 2016-01-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366042830 Denisha Henry Dental Hygienist 28009 Berkshire Dr, Southfield, MI 48076-2449 2020-10-26
1477173367 Susan B Leclair Dental Hygienist 6824 Brightwood Ct, Waterford, MI 48327-1100 2020-04-20
1053944686 Elaine Christina Check Dental Hygienist 3510 Roosevelt Rd, Jackson, MI 49203-5263 2020-02-21
1720619257 Angela Marie Compton Dental Hygienist 2668 Applewine, Middleville, MI 49333-8052 2020-02-03
1336789205 Alaa Samir Solagh Dental Hygienist 7311 Appoline St, Dearborn, MI 48126-1570 2020-01-08
1952941825 Ericka Melissa Smith Dental Hygienist 14577 Rosemont Ave, Detroit, MI 48223-2338 2020-01-08
1083254957 Zahraa Solagh Dental Hygienist 6268 Whitefield St, Dearborn Heights, MI 48127-3013 2020-01-08
1811536261 Melissa Ann Mccurtis Dental Hygienist 20700 Lockwood St, Taylor, MI 48180-2977 2020-01-02
1609415595 Amanda Kilpatrick Dental Hygienist 11714 Belle River Rd, Riley, MI 48041-4322 2019-12-25
1366089732 Vian Aljony Dental Hygienist 27273 Arden Park Cir, Farmington Hills, MI 48334 2019-12-04
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Competitor

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City OAK PARK
Zip Code 48237

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Dataset Information

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.

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