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

Crystal Lake Family Dental

Organization General Practice Dentistry · NPI 1154761492

Crystal Lake Family Dental provides General Practice Dentistry in Crystal Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013

Practice location Address checks out

651 W Terra Cotta Ave Ste 201
Crystal Lake, IL 60014-3404 Not confirmed with CMS for 13 years — call before visiting
Phone: (630) 339-3172
Fax: (847) 891-6775
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (IL)

Record details

NPI number1154761492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Acierno — Owner · (630) 339-3172
NPI enumeratedJuly 1, 2013
Last updated in NPPESJuly 1, 2013
Mailing address129 S Roselle Rd, Suite 102, Schaumburg, IL 60193-5540

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