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Crest Family Dental, LLC

General Practice Dentistry in Hartford, CT · enumerated 2014 · authorized official Shyam Shivareddy, Manager.

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

National Provider Identifier

1699185264

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Registry record

Entity type Organization (Type 2)
Legal business name Crest Family Dental, LLC
Practice address 85 Seymour St, Suite 1018, Hartford, CT, 06106
Phone (860) 251-6999
Fax (860) 251-6997
Enumeration date May 5, 2014
Last updated in NPPES May 5, 2014

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License CT10690 (CT) Primary

Authorized official

Name Shyam Shivareddy
Title Manager
Phone (904) 514-1217

Other identifiers

Identifier Type State Issuer
1223G0001X Medicaid CT -

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 Crest Family Dental, LLC?
The NPI for Crest Family Dental, LLC is 1699185264, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Crest Family Dental, LLC?
NPPES lists Shyam Shivareddy (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 2014-05-05.