Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Crescent Family Dental LLC

Organization Dentist · NPI 1043749286

Crescent Family Dental LLC provides Dentist services in Wheeling, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

307 S Milwaukee Ave Ste 101
Wheeling, IL 60090-5035
Phone: (847) 459-3366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.030051 (IL)

Record details

NPI number1043749286
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deeptha Surampudi — President · (224) 229-9688
Other names Crescent Family Dental
NPI enumeratedJune 10, 2017
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020
Mailing address180 Brook Hill Ln, Vernon Hills, IL 60061-3142

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