OrganizationActive
Vdc-Crystal River PA
NPI 1053683722 · General Practice Dentistry · Crystal River, FL
Provider details
- NPI number
- 1053683722
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Janeen Gorman, Manger(352) 684-1274
- License
- DN17567 (FL)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6824 W Gulf to Lake Hwy
Crystal River, FL 34429-7806
Phone: (352) 684-1274
Fax: (352) 263-2756
Street-level locationGet directions
Mailing address
6824 W Gulf to Lake Hwy
Crystal River, FL 34429-7806
Registry dates
- Enumerated
- 2012-01-27
- Last updated
- 2012-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.