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

Vdc-Crystal River PA

Organization General Practice Dentistry · NPI 1053683722

Vdc-Crystal River PA is a General Practice Dentistry in Crystal River, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
3
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

6824 W Gulf To Lake Hwy
Crystal River, FL 34429-7806
Phone: (352) 684-1274
Fax: (352) 263-2756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN7162 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN17567 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN17081 (FL)

Record details

NPI number1053683722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janeen Gorman — Manger · (352) 684-1274
NPI enumeratedJanuary 27, 2012
Last updated in NPPESFebruary 16, 2012
Mailing address6824 W Gulf To Lake Hwy, Crystal River, FL 34429-7806

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