CREST DENTAL LLC
NPI 1033479126
Dentist - General Practice in Carol Stream, IL

Active since May 22, 2012
1354 W ARMY TRAIL RD, CAROL STREAM, IL 60188(847) 361-2400(630) 289-6870 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crest Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREST DENTAL LLC (NPI 1033479126) is a healthcare organization registered as a general practice in Carol Stream, Illinois and active in the NPI registry since May 2012. The organization lists Ami K Shah, Dentist, as its authorized official.

NPPES Registry Identity

NPI1033479126
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCREST DENTAL LLC
Location Address1354 W ARMY TRAIL RDCarol Stream, IL 60188-4836
Mailing Address1354 W Army Trail RdCarol Stream, IL 60188-4836
Fax(630) 289-6870
Organization SubpartNo
Authorized OfficialAmi K ShahDentist · (847) 361-2400
Enumeration DateMay 22, 2012
NPI 1033479126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019.027379
Definition
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.
1354 W ARMY TRAIL RD, Carol Stream, IL 60188

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
1354 W ARMY TRAIL RD
CAROL STREAM, IL 60188
Dentist
1354 W ARMY TRAIL RD
CAROL STREAM, IL 60188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crest Dental LLC's NPI number?

The NPI number for Crest Dental LLC is 1033479126. It was assigned to this organization in the NPPES registry on May 22, 2012.

Where is Crest Dental LLC located?

Crest Dental LLC is located at 1354 W Army Trail Rd, Carol Stream, IL 60188. The listed phone number is (847) 361-2400.

What is Crest Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Crest Dental LLC was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.