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CRESCENT LAKE DENTAL CARE PLLC
NPI 1124884366
Clinic/Center - Dental in Waterford, MI

Active since February 26, 2024
998 CRESCENT LAKE RD, WATERFORD, MI 48327(248) 682-9331 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crescent Lake Dental Care Pllc NPPES

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

CRESCENT LAKE DENTAL CARE PLLC (NPI 1124884366) is a healthcare organization registered as a dental in Waterford, Michigan and active in the NPI registry since February 2024. The organization lists Mohammed Sobh, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1124884366
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCRESCENT LAKE DENTAL CARE PLLC
Location Address998 CRESCENT LAKE RDWaterford, MI 48327-2594
Mailing Address1849 N Denwood StDearborn, MI 48128-1156
Phone(248) 682-9331
Organization SubpartNo
Authorized OfficialMohammed SobhOwner/doctor · (313) 663-6484
Enumeration DateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1124884366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
998 CRESCENT LAKE RD, Waterford, MI 48327
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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.

JOHN BRADFORD KILLINGER D.D.S.
Dentist (General Practice)
998 CRESCENT LAKE RD
WATERFORD, MI 48327
Oakland County (248) 682-9653
GLEN JOSEPH MARSACK D.D.S.
Dentist (General Practice)
998 CRESCENT LAKE RD
WATERFORD, MI 48327
Oakland County (248) 682-9331
KILLINGER & VANDER BEEK
Dentist (General Practice)
998 CRESCENT LAKE RD
WATERFORD, MI 48327
Oakland County (248) 682-9653

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 Lake Dental Care PLLC's NPI number?

The NPI number for Crescent Lake Dental Care PLLC is 1124884366. It was assigned to this organization in the NPPES registry on February 26, 2024.

Where is Crescent Lake Dental Care PLLC located?

Crescent Lake Dental Care PLLC is located at 998 Crescent Lake Rd, Waterford, MI 48327. The listed phone number is (248) 682-9331.

What is Crescent Lake Dental Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Crescent Lake Dental Care PLLC was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.