CRENTIST PC
NPI 1649817719
Clinic/Center - Dental in Woodlyn, PA

Active since December 07, 2019
1100 MACDADE BLVD, WOODLYN, PA 19094(610) 833-1919 Get Directions Write a Review

NPPES record last updated: December 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crentist Pc NPPES

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

CRENTIST PC (NPI 1649817719), doing business as Ridley Dental Center, is a healthcare organization registered as a dental in Woodlyn, Pennsylvania and active in the NPI registry since December 2019. The organization lists Jordan Klinkner, President, as its authorized official.

NPPES Registry Identity

NPI1649817719
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCRENTIST PC
Location Address1100 MACDADE BLVDWoodlyn, PA 19094-1322
Mailing Address1100 Macdade BlvdWoodlyn, PA 19094-1322 · (610) 833-1919
Organization SubpartNo
Authorized OfficialJordan KlinknerPresident · (917) 523-9800
Enumeration DateDecember 7, 2019
NPI 1649817719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1100 MACDADE BLVD, Woodlyn, PA 19094

Other Names 1

Doing Business AsRidley Dental Center

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
1100 MACDADE BLVD
WOODLYN, PA 19094
Dentist
1100 MACDADE BLVD
WOODLYN, PA 19094

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 Crentist PC's NPI number?

The NPI number for Crentist PC is 1649817719. It was assigned to this organization in the NPPES registry on December 7, 2019. The provider is doing business as Ridley Dental Center.

Where is Crentist PC located?

Crentist PC is located at 1100 Macdade Blvd, Woodlyn, PA 19094. The listed phone number is (610) 833-1919.

What is Crentist PC'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 Crentist PC was last updated on December 7, 2019. 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.