1. Home
  2. Directory
  3. Illinois
  4. Wheeling
  5. Dentist
  6. NPI Profile

CRESCENT FAMILY DENTAL
NPI 1043749286
Dentist in Wheeling, IL

Active since June 10, 2017
307 S MILWAUKEE AVE STE 101, WHEELING, IL 60090(847) 459-3366 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2020, Jul 25, 2017, Jun 10, 2017 (3 updates tracked since 2017).

About Crescent Family Dental NPPES

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

CRESCENT FAMILY DENTAL (NPI 1043749286) is a healthcare organization registered as a dentist in Wheeling, Illinois and active in the NPI registry since June 2017. The organization lists Deeptha Surampudi, President, as its authorized official.

NPPES Registry Identity

NPI1043749286
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCRESCENT FAMILY DENTAL LLC
Location Address307 S MILWAUKEE AVE STE 101Wheeling, IL 60090-5035
Mailing Address180 Brook Hill LnVernon Hills, IL 60061-3142 · (224) 229-9688
Phone(847) 459-3366
Organization SubpartNo
Authorized OfficialDeeptha SurampudiPresident · (224) 229-9688
Enumeration DateJune 10, 2017
Last NPPES UpdateJune 25, 20203 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1043749286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.030051
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
307 S MILWAUKEE AVE STE 101, Wheeling, IL 60090
Open in Google Maps ↗

Other Names 1

Doing Business AsCrescent Family Dental

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES

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

MY SMILES DENTAL CENTER CRESCENT INC.
Clinic/Center (Dental)
307 S MILWAUKEE AVE STE 101
WHEELING, IL 60090
Cook County (847) 306-5574

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 Crescent Family Dental LLC's NPI number?

The NPI number for Crescent Family Dental LLC is 1043749286. It was assigned to this organization in the NPPES registry on June 10, 2017. The provider is doing business as Crescent Family Dental.

Where is Crescent Family Dental LLC located?

Crescent Family Dental LLC is located at 307 S Milwaukee Ave Ste 101, Wheeling, IL 60090. The listed phone number is (847) 459-3366.

What is Crescent Family Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Crescent Family Dental LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Crescent Family Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crescent Family Dental LLC was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.