Crestview Dental Care PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CRESTVIEW DENTAL CARE PLLC

Practice address

838 W James Lee Blvd
Crestview, FL 32536-5166

Phone

(850) 689-1858

NPI assigned

Jul 22, 2026

Last updated

Jul 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Kelly

Title

Owner

Phone

(407) 432-6224

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terence Daniel Barnes, D.M.D.

  • General Practice Dentistry
  • Crestview, FL
  • NPI 1164576344
  NPD (past)
• Thomas Keith Rowell, DMD

  • General Practice Dentistry
  • Crestview, FL
  • NPI 1164081287
  NPD (past)

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1700707247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 W JAMES LEE BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 W JAMES LEE BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365166",
            "telephone_number": "850-689-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-432-6224"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Cramer
• Creative Orthotic & Prosthetic Services
• Traci Ann Cremer, ISW
• Crestview Chiropractic Clinic, Inc
• Crestview City Pharmacy Inc (Crestview City Pharmacy)
• Crestview HCC LLC
• Crestview Health and Wellness Center LLC
• Crestview Hospital Company LLC (Crestview Surgery Center)
• Crestview Hospital Company LLC
• Crestview Hospital Company LLC

• Dental Clinic/Center in Crestview, FL
• Providers in Crestview, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.