1. Home
  2. Directory
  3. Illinois
  4. Orland Park
  5. Dentist
  6. NPI Profile

CRYSTAL COVE FAMILY DENTAL PLLC
NPI 1972392751
Dentist - General Practice in Orland Park, IL

Active since May 06, 2025
15614 S HARLEM AVE STE A, ORLAND PARK, IL 60462(708) 614-1111(708) 614-1117 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Cove Family Dental Pllc NPPES

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

CRYSTAL COVE FAMILY DENTAL PLLC (NPI 1972392751), doing business as Crystal Cove Family Dental, is a healthcare organization registered as a general practice in Orland Park, Illinois and active in the NPI registry since May 2025. The organization lists Florentina Camacho, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1972392751
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCRYSTAL COVE FAMILY DENTAL PLLC
Location Address15614 S HARLEM AVE STE AOrland Park, IL 60462-4401
Mailing Address15614 S Harlem Ave Ste AOrland Park, IL 60462-4401 · (708) 614-1111 · Fax (708) 614-1117
Phone(708) 614-1111
Fax(708) 614-1117
Organization SubpartNo
Authorized OfficialFlorentina CamachoOffice Manager · (708) 614-1111
Enumeration DateMay 6, 2025
NPPES CertifiedMay 6, 2025
✔ NPI 1972392751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
15614 S HARLEM AVE STE A, Orland Park, IL 60462
Open in Google Maps ↗

Other Names 1

Doing Business AsCrystal Cove Family Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

YASSMEN JAAFAR ETAYEM DMD
Dentist (General Practice)
15614 S HARLEM AVE STE A
ORLAND PARK, IL 60462
Cook County (708) 614-1111

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 Cove Family Dental PLLC's NPI number?

The NPI number for Crystal Cove Family Dental PLLC is 1972392751. It was assigned to this organization in the NPPES registry on May 6, 2025. The provider is doing business as Crystal Cove Family Dental.

Where is Crystal Cove Family Dental PLLC located?

Crystal Cove Family Dental PLLC is located at 15614 S Harlem Ave Ste A, Orland Park, IL 60462. The listed phone number is (708) 614-1111.

What is Crystal Cove Family Dental PLLC'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 Cove Family Dental PLLC was last updated on May 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.