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CRYSTAL LAKE FAMILY DENTAL
NPI 1154761492
Dentist - General Practice in Crystal Lake, IL

Active since July 01, 2013
651 W TERRA COTTA AVE, SUITE 201, CRYSTAL LAKE, IL 60014(630) 339-3172(847) 891-6775 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Lake Family Dental NPPES

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

CRYSTAL LAKE FAMILY DENTAL (NPI 1154761492) is a healthcare organization registered as a general practice in Crystal Lake, Illinois and active in the NPI registry since July 2013. The organization lists Alan J Acierno, Owner, as its authorized official.

NPPES Registry Identity

NPI1154761492
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCRYSTAL LAKE FAMILY DENTAL
Location Address651 W TERRA COTTA AVE, SUITE 201Crystal Lake, IL 60014-3404
Mailing Address129 S Roselle Rd, Suite 102Schaumburg, IL 60193-5540 · (630) 339-3172 · Fax (847) 891-6775
Phone(630) 339-3172
Fax(847) 891-6775
Organization SubpartNo
Authorized OfficialAlan J AciernoOwner · (630) 339-3172
Enumeration DateJuly 1, 2013
✔ NPI 1154761492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
651 W TERRA COTTA AVE, Crystal Lake, IL 60014
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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 3

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

RODNEY COVENAH D.D.S.
Dentist (General Practice)
651 W TERRA COTTA AVE
CRYSTAL LAKE, IL 60014
McHenry County (815) 788-7100
DR. MISTY LYNN THILLEN D.D.S.
Dentist (General Practice)
651 W TERRA COTTA AVE, STE 121
CRYSTAL LAKE, IL 60014
McHenry County (815) 455-0145
DR. MISTIE E NORTEN-HILL D.M.D.
Dentist
651 W TERRA COTTA AVE, #111
CRYSTAL LAKE, IL 60014
McHenry County (815) 455-6933

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 Crystal Lake Family Dental's NPI number?

The NPI number for Crystal Lake Family Dental is 1154761492. It was assigned to this organization in the NPPES registry on July 1, 2013.

Where is Crystal Lake Family Dental located?

Crystal Lake Family Dental is located at 651 W Terra Cotta Ave Suite 201, Crystal Lake, IL 60014. The listed phone number is (630) 339-3172.

What is Crystal Lake Family Dental'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 Crystal Lake Family Dental was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.