CRYSTAL RIVER DENTAL, LLC
NPI 1255940227
Clinic/Center - Dental in Waupaca, WI

Active since July 27, 2020
400 SCHOOL ST, WAUPACA, WI 54981(616) 450-9270 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal River Dental, Llc NPPES

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

CRYSTAL RIVER DENTAL, LLC (NPI 1255940227) is a healthcare organization registered as a dental in Waupaca, Wisconsin and active in the NPI registry since July 2020. The organization lists Kelly A Bellinger, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1255940227
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCRYSTAL RIVER DENTAL, LLC
Location Address400 SCHOOL STWaupaca, WI 54981-1626
Mailing Address400 School StWaupaca, WI 54981-1626 · (616) 450-9270
Organization SubpartNo
Authorized OfficialKelly A BellingerOperations Manager · (616) 450-9270
Enumeration DateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
NPI 1255940227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
400 SCHOOL ST, Waupaca, WI 54981

Other Providers at the Same Location NPPES 4

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

Dentist
400 SCHOOL ST
WAUPACA, WI 54981
Dentist
400 SCHOOL ST
WAUPACA, WI 54981
Durable Medical Equipment & Medical Supplies
400 SCHOOL ST
WAUPACA, WI 54981
Clinic/Center (Dental)
400 SCHOOL ST
WAUPACA, WI 54981

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 River Dental, LLC's NPI number?

The NPI number for Crystal River Dental, LLC is 1255940227. It was assigned to this organization in the NPPES registry on July 27, 2020.

Where is Crystal River Dental, LLC located?

Crystal River Dental, LLC is located at 400 School St, Waupaca, WI 54981. The listed phone number is (616) 450-9270.

What is Crystal River Dental, LLC'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 Crystal River Dental, LLC was last updated on July 27, 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.