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VDC-CRYSTAL RIVER PA
NPI 1053683722
Dentist - General Practice in Crystal River, FL

Active since January 27, 2012
6824 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429(352) 684-1274(352) 263-2756 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vdc-crystal River Pa NPPES

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

VDC-CRYSTAL RIVER PA (NPI 1053683722) is a healthcare organization registered as a general practice in Crystal River, Florida and active in the NPI registry since January 2012. The organization lists Janeen M Gorman, Manger, as its authorized official.

NPPES Registry Identity

NPI1053683722
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameVDC-CRYSTAL RIVER PA
Location Address6824 W GULF TO LAKE HWYCrystal River, FL 34429-7806
Mailing Address6824 W Gulf To Lake HwyCrystal River, FL 34429-7806 · (352) 684-1274 · Fax (352) 263-2756
Phone(352) 684-1274
Fax(352) 263-2756
Organization SubpartNo
Authorized OfficialJaneen M GormanManger · (352) 684-1274
Enumeration DateJanuary 27, 2012
Last NPPES UpdateFebruary 16, 2012
✔ NPI 1053683722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in FL · DN7162✔ Licensed in FL · DN17567✔ Licensed in FL · DN17081
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.
6824 W GULF TO LAKE HWY, Crystal River, FL 34429
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. JOHNNY HELOU DMD, MICOI, DICOI
Dentist
6824 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429
Citrus County (352) 794-6139
CRYSTAL RIVER FAMILY DENTISTRY
Clinic/Center (Dental)
6824 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429
Citrus County (440) 823-6790
VDCCR,P.A.
Dentist (General Practice)
6824 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429
Citrus County (352) 794-6139

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 Vdc-Crystal River PA's NPI number?

The NPI number for Vdc-Crystal River PA is 1053683722. It was assigned to this organization in the NPPES registry on January 27, 2012.

Where is Vdc-Crystal River PA located?

Vdc-Crystal River PA is located at 6824 W Gulf To Lake Hwy, Crystal River, FL 34429. The listed phone number is (352) 684-1274.

What is Vdc-Crystal River PA'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 Vdc-Crystal River PA was last updated on February 16, 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.