OrganizationActive
Crystal River Dental, LLC
NPI 1255940227 · Dental Clinic/Center · Waupaca, WI
Provider details
- NPI number
- 1255940227
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Bellinger, Operations Manager(616) 450-9270
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
400 School St
Waupaca, WI 54981-1626
Phone: (616) 450-9270
Approximate (ZIP-level) locationGet directions
Mailing address
400 School St
Waupaca, WI 54981-1626
Registry dates
- Enumerated
- 2020-07-27
- Last updated
- 2020-07-27
- Certified
- 2020-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.