Crescent Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

G10001184 Issued in DE

Legal business name

CRESCENT DENTAL, LLC

Practice address

129 S. West St.
Wilmington, DE 19801

Phone

(302) 230-0000

NPI assigned

Feb 13, 2008

Last updated

Feb 13, 2008By 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

Dr. Syamack Ganjavian, DDSNPI 1487729786

Title

President

Phone

(302) 230-0000

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Syamack Ganjavian, D.D.S.

  • General Practice Dentistry
  • Wilmington, DE
  • NPI 1487729786
  NPD (past) Authorized official
• Zahra Ashrafi, D.D.S.

  • General Practice Dentistry
  • Wilmington, DE
  • NPI 1295938769
  NPD (past)
• David A. Lewis, DDS

  • General Practice Dentistry
  • Wilmington, DE
  • NPI 1891355848
  NPD (past)
• Jacob Harrison Uram, DDS

  • General Practice Dentistry
  • Middletown, DE
  • NPI 1477046472
  NPD (past)

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1851569719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TALLEYRAND DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103948",
            "telephone_number": "302-230-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S. WEST ST.",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19801",
            "telephone_number": "302-230-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "GANJAVIAN",
        "authorized_official_first_name": "SYAMACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-230-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G10001184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Crawford
• Emily A Crawford, PH.D.
• Joseph Richard Creekmore, RPH
• Creekside Counseling and Wellness Inc
• Moses L Crenshaw III, BS
• Gloria Maria Crespo, PSY.D.
• Crestline Home Care LLC
• Crestview Medical Center P a
• Elizabeth Marie Crews, LMSW
• Sue Crichton, MSS LCSW

• Dentist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Dentist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.