CRYSTAL DENTAL CARE INC
NPI 1316689201
Clinic/Center - Dental in Crystal, MN

Active since April 11, 2022
5640 W BROADWAY AVE, CRYSTAL, MN 55428(176) 353-7365 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Dental Care Inc NPPES

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

CRYSTAL DENTAL CARE INC (NPI 1316689201) is a healthcare organization registered as a dental in Crystal, Minnesota and active in the NPI registry since April 2022. The organization lists Kimberlee Murphy, Owner, as its authorized official.

NPPES Registry Identity

NPI1316689201
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCRYSTAL DENTAL CARE INC
Location Address5640 W BROADWAY AVECrystal, MN 55428-3556
Mailing Address5640 W Broadway AveCrystal, MN 55428-3556 · (176) 353-7365
Organization SubpartNo
Authorized OfficialKimberlee MurphyOwner · (763) 537-3655
Enumeration DateApril 11, 2022
NPPES CertifiedApril 11, 2022
NPI 1316689201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
5640 W BROADWAY AVE, Crystal, MN 55428

Other Names 1

Doing Business AsCrystal Dental Care Inc

Other Identifiers 1

Medicaid1285706317MN

Other Providers at the Same Location NPPES 6

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

Chiropractor
5640 W BROADWAY AVE
CRYSTAL, MN 55428
Dentist (General Practice)
5640 W BROADWAY AVE
CRYSTAL, MN 55428
Chiropractor
5640 W BROADWAY AVE
CRYSTAL, MN 55428
Chiropractor
5640 W BROADWAY AVE
CRYSTAL, MN 55428
Clinic/Center (Dental)
5640 W BROADWAY AVE
CRYSTAL, MN 55428
Chiropractor
5640 W BROADWAY AVE
CRYSTAL, MN 55428

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 Dental Care Inc's NPI number?

The NPI number for Crystal Dental Care Inc is 1316689201. It was assigned to this organization in the NPPES registry on April 11, 2022.

Where is Crystal Dental Care Inc located?

Crystal Dental Care Inc is located at 5640 W Broadway Ave, Crystal, MN 55428. The listed phone number is (176) 353-7365.

What is Crystal Dental Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Crystal Dental Care Inc was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.