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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CRYSTAL LY DMD
NPI 1134039597
Dentist in Nogales, AZ

Active since September 09, 2026
1852 N. MASTICK WAY, NOGALES, AZ 85621(520) 375-5032(520) 377-9430 Get Directions Write a Review

NPPES record added: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Crystal Ly Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL LY DMD (NPI 1134039597) is an individual dentist in Nogales, Arizona, licensed in Arizona (D012940) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1134039597
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameCRYSTAL LYCredential: DMD
Location Address1852 N. MASTICK WAYNogales, AZ 85621
Mailing Address825 N Grand Ave, Suite 100Nogales, AZ 85621 · (520) 375-5032 · Fax (520) 377-9430
Phone(520) 375-5032
Fax(520) 377-9430
Sole ProprietorNo
Enumeration DateSeptember 9, 2026
NPPES CertifiedSeptember 9, 2026
✔ NPI 1134039597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D012940
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1852 N. MASTICK WAY, Nogales, AZ 85621
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOPHIA ALIZE CUADRAS RDH
Dental Hygienist
1852 N. MASTICK WAY
NOGALES, AZ 85621
Santa Cruz County (520) 375-5032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Ly's NPI number?

The NPI number for Crystal Ly is 1134039597. It was assigned to this individual provider in the NPPES registry on September 9, 2026.

Where is Crystal Ly located?

Crystal Ly practices at 1852 N. Mastick Way, Nogales, AZ 85621. The listed phone number is (520) 375-5032.

What is Crystal Ly's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Crystal Ly was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.