Adam Crell, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN123295 Issued in GA

Practice address

697 Medical Park LN
Gainesville, GA 30501-2084

Phone

(770) 718-1800

NPI assigned

Apr 19, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adam Crell DDS, LLC

  • Pediatric Dentistry
  • Gainesville, GA
  • NPI 1760221469
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705104000000",
    "number": "1003303579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 ESTATES DR",
            "city": "CAMDEN WYOMING",
            "state": "DE",
            "postal_code": "199344616",
            "telephone_number": "302-650-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 MEDICAL PARK LN",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012084",
            "telephone_number": "770-718-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRELL",
        "first_name": "ADAM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN23395",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN123295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott W Craven, PA-C
• Christian Cravey, AA
• Meghan Diane Crawford, PSY.D.
• Sarah Creamer, CAA
• Nathan Joseph Creel, MD
• William Terry Crews III, D.C.
• Gabrielle Crider
• Sara B. Crippen, BSED
• Jennifer Crisp
• Mackenzie Crisp, RBT

• Pediatric Dentistry in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.