Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crescent Family Dental LLC

Organization Dentist · NPI 1043749286

Crescent Family Dental LLC is a Dentist 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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