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

Dr. Crystal Lynn Wallenius

Individual provider General Practice Dentistry · NPI 1720749708

Dr. Crystal Lynn Wallenius is a General Practice Dentistry in Clarksville, Tennessee. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

2292 Dalton Dr Ste F
Clarksville, TN 37043-8961
Phone: (931) 503-1111
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 6001117-15 (WI)

Record details

NPI number1720749708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2022
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023
Mailing address2292 Dalton Dr Ste F, Clarksville, TN 37043-8961

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