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DR. CRYSTAL LYNN WALLENIUS
NPI 1720749708
Dentist - General Practice in Clarksville, TN

Active since January 03, 2022
2292 DALTON DR STE F, CLARKSVILLE, TN 37043(931) 503-1111 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Crystal Lynn Wallenius NPPES

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

DR. CRYSTAL LYNN WALLENIUS (NPI 1720749708) is an individual general practice provider in Clarksville, Tennessee, licensed in Wisconsin (6001117-15) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1720749708
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CRYSTAL LYNN WALLENIUS
Location Address2292 DALTON DR STE FClarksville, TN 37043-8961
Mailing Address2292 Dalton Dr Ste FClarksville, TN 37043-8961 · (931) 503-1111
Phone(931) 503-1111
Sole ProprietorNo
Enumeration DateJanuary 3, 2022
Last NPPES UpdateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
✔ NPI 1720749708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 6001117-15
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.
2292 DALTON DR STE F, Clarksville, TN 37043
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Other Providers at the Same Location NPPES 7

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

DR. KENNEDY WAYNE GERMANY JR. DDS
Dentist (General Practice)
2292 DALTON DR STE F
CLARKSVILLE, TN 37043
Montgomery County (931) 503-1111
NASHVILLE VAMC
Clinic/Center (VA)
2292 DALTON DR STE F
CLARKSVILLE, TN 37043
Montgomery County (615) 355-3451
MONICA D SORENSEN RDH,BSDH
Dental Hygienist
2292 DALTON DR STE F
CLARKSVILLE, TN 37043
Montgomery County (931) 503-1111
MS. LASHONDRIA STEELE RDH, B.S
Dental Hygienist
2292 DALTON DR STE F
CLARKSVILLE, TN 37043
Montgomery County (931) 503-1111
DR. DEBORAH LYNNE DALVIT DDS
Dentist (Prosthodontics)
2292 DALTON DR STE F
CLARKSVILLE, TN 37043
Montgomery County (931) 503-1111
MRS. KIMBERLY JO SYKES RDH
Dental Hygienist
2292 DALTON DR STE F
CLARKSVILLE, TN 37043
Montgomery County (931) 503-1111
DR. CLIFFORD JOSEPH BAUTISTA DDS
Dentist
2292 DALTON DR STE F
CLARKSVILLE, TN 37043
Montgomery County (931) 503-1111

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 Wallenius's NPI number?

The NPI number for Crystal Wallenius is 1720749708. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Crystal Wallenius located?

Crystal Wallenius practices at 2292 Dalton Dr Ste F, Clarksville, TN 37043. The listed phone number is (931) 503-1111.

What is Crystal Wallenius'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 Wallenius was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.