Howard L. Crystal, D.D.S., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019016617 Issued in IL

Legal business name

HOWARD L. CRYSTAL, D.D.S., P.C.

Practice address

929 Ridge Rd.
Wilmette, IL 60091-1559

Phone

(847) 906-3480

NPI assigned

Oct 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Howard Lawrence Crystal, D.D.S.

Title

President

Phone

(773) 370-6307

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1124490875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 RIDGE RD.",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911559",
            "telephone_number": "847-906-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 RIDGE RD.",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911559",
            "telephone_number": "847-906-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD L. CRYSTAL, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "CRYSTAL",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-370-6307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019016617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178032",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Howard J Klapman MD LTD
• Teresita Hernandez Huang, M.D.
• Emily Elizabeth Huelsmann, M.A., CCC-SLP
• Kristine Hummel, LCSW CADC
• Loren W. Hutter, M.D.
• Judith S Hylton, M.ED, MA, LCPC

• Dental Clinic/Center in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.