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

Crestway Park Dental, PA

Organization General Practice Dentistry · NPI 1508021114

Crestway Park Dental, PA is a General Practice Dentistry in Athens, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

208 Crestway St
Athens, TX 75751
Phone: (903) 675-3811
Fax: (903) 675-2800
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22191 (TX)

Record details

NPI number1508021114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hannah Lively — Business Manager · (903) 675-3811
Other names Allen Family Dentistry
NPI enumeratedJuly 23, 2008
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022
Mailing address208 Crestway St, Athens, TX 75751

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