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

Crystal River Dental, LLC

Organization Dental Clinic/Center · NPI 1255940227

Crystal River Dental, LLC is a Dental Clinic/Center in Waupaca, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020
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

400 School St
Waupaca, WI 54981-1626
Phone: (616) 450-9270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1255940227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Bellinger — Operations Manager · (616) 450-9270
NPI enumeratedJuly 27, 2020
Last updated in NPPESJuly 27, 2020
Certification dateJuly 27, 2020
Mailing address400 School St, Waupaca, WI 54981-1626

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