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Active NPI 1295655496 Individual Practitioner Male Practitioner

Dr. Evan Ray Crystal , DMD

Dentist - General Practice • Leesburg, GA

Professional Overview & Biography Verified Profile Summary

Dr. Evan Crystal, DMD is a registered healthcare professional specializing in Dentist - General Practice in Leesburg, GA. Practice services are available at 138 OAKLAND PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

138 Oakland Pkwy

Leesburg, GA 317637200

Telephone 2294322213

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Leesburg, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Leesburg, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN124272

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

119 Carlton Dr

Leesburg, GA 317635652

Phone: 2294351726

108 W Pope St

Sylvester, GA 317912030

Phone: 2297766431

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1144847047

Doctor of Dental Medicine

NPI 1154057958

Doctor of Dental Medicine

Jake Evans

Dentist

NPI 1174018436
Dr. Larry Miles , DMD

Dentist - General Practice

NPI 1215033667

Doctor of Dental Medicine

NPI 1578188413

Doctor of Dental Medicine

NPI 1669099784

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 17, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2026

Registered at 138 OAKLAND PKWY, LEESBURG, GA 317637200 (Tel: 2294322213)

📍
Updated Business Mailing Address July 17, 2026

Registered at 1725 DAWSON RD, ALBANY, GA 317073362

👤
Provider Name / Credentials Updated July 17, 2026

Recorded as EVAN CRYSTAL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2026

Dentist (License #DN124272 in GA)

🟢
Initial NPI Registration & Enumeration July 17, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295655496
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2026
Last Update: July 17, 2026
Sole Proprietor: No

Mailing Address

1725 Dawson Rd

Albany, GA 317073362

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.