ALLEN FAMILY DENTISTRY
NPI 1508021114
Dentist - General Practice in Athens, TX

Active since July 23, 2008
208 CRESTWAY ST, ATHENS, TX 75751(903) 675-3811(903) 675-2800 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Allen Family Dentistry NPPES

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

ALLEN FAMILY DENTISTRY (NPI 1508021114) is a healthcare organization registered as a general practice in Athens, Texas and active in the NPI registry since July 2008. The organization lists Hannah Lively, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1508021114
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCRESTWAY PARK DENTAL, P.A.
Location Address208 CRESTWAY STAthens, TX 75751
Mailing Address208 Crestway StAthens, TX 75751 · (903) 675-3811 · Fax (903) 675-2800
Fax(903) 675-2800
Organization SubpartNo
Authorized OfficialHannah LivelyBusiness Manager · (903) 675-3811
Enumeration DateJuly 23, 2008
Last NPPES UpdateApril 14, 2022
NPPES CertifiedApril 14, 2022
NPI 1508021114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 22191
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.
208 CRESTWAY ST, Athens, TX 75751

Other Names 1

Doing Business AsAllen Family Dentistry

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

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

Dentist
208 CRESTWAY ST
ATHENS, TX 75751

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 Crestway Park Dental, P.A.'s NPI number?

The NPI number for Crestway Park Dental, P.A. is 1508021114. It was assigned to this organization in the NPPES registry on July 23, 2008. The provider is doing business as Allen Family Dentistry.

Where is Crestway Park Dental, P.A. located?

Crestway Park Dental, P.A. is located at 208 Crestway St, Athens, TX 75751. The listed phone number is (903) 675-3811.

What is Crestway Park Dental, P.A.'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 Crestway Park Dental, P.A. was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.