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Crestway Park Dental, P.A.

General Practice Dentistry in Athens, TX · enumerated 2008 · authorized official Hannah Lively, Business Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508021114

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Registry record

Entity type Organization (Type 2)
Legal business name Crestway Park Dental, P.A.
Other name <Unavail>
Practice address 208 Crestway St, Athens, TX, 75751
Fax (903) 675-2800
Enumeration date Jul 23, 2008
Last updated in NPPES Apr 14, 2022

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 22191 (TX) Primary

Authorized official

Name Hannah Lively
Title Business Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Crestway Park Dental, P.A.?
The NPI for Crestway Park Dental, P.A. is 1508021114, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Crestway Park Dental, P.A.?
NPPES lists Hannah Lively (Business Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-04-14.