CRESCENT DENTAL ASSOCIATES LLC
NPI 1801164405
Dentist - General Practice in Wakefield, MA

Active since December 09, 2011
10 CRESCENT ST, WAKEFIELD, MA 01880(781) 245-1593 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About CRESCENT DENTAL ASSOCIATES LLC

This page provides the complete NPI Profile along with additional information for Crescent Dental Associates Llc, a provider established in Wakefield, Massachusetts operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1801164405 assigned on December 2011. The practitioner's primary taxonomy code is 1223G0001X with license number DN14577 (MA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kevin J Mcneil D.d.s. (Owner/sole Member)

NPI
1801164405 Verify this NPI
Provider Name
CRESCENT DENTAL ASSOCIATES LLC
Entity Type
Organization
Location Address
10 CRESCENT ST WAKEFIELD, MA 01880
Location Phone
(781) 245-1593
Mailing Address
10 CRESCENT ST P.O. BOX 314 WAKEFIELD, MA 01880
Mailing Phone
(781) 245-1593
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-09-2011
Last Update Date
12-09-2011
Code Navigator

A dentist like Crescent Dental Associates Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
DN14577
License State
MA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KEVIN J MCNEIL D.D.S.

Authorized Official Title
OWNER/SOLE MEMBER
Authorized Official Phone
(781) 245-1593

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
10 CRESCENT ST
WAKEFIELD, MA 01880
Dentist (General Practice)
10 CRESCENT ST
WAKEFIELD, MA 01880

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801164405, enumerated as an "organization" on December 09, 2011.

The provider is located at 10 CRESCENT ST WAKEFIELD, MA 01880 and the phone number is (781) 245-1593.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.