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CRYSTAL MARTIN DDS LLC
NPI 1609455633
Dentist - General Practice in Ellisville, MO

Active since April 06, 2021
277 CLARKSON RD STE 100, ELLISVILLE, MO 63011(636) 227-0507(636) 591-0032 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2021, Apr 6, 2021 (2 updates tracked since 2021).

About Crystal Martin Dds Llc NPPES

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

CRYSTAL MARTIN DDS LLC (NPI 1609455633) is a healthcare organization registered as a general practice in Ellisville, Missouri and active in the NPI registry since April 2021. The organization lists Crystal L Martin, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1609455633
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCRYSTAL MARTIN DDS LLC
Location Address277 CLARKSON RD STE 100Ellisville, MO 63011-2280
Mailing Address331 Portico CtChesterfield, MO 63017-2536 · (314) 488-9073
Phone(636) 227-0507
Fax(636) 591-0032
Organization SubpartNo
Authorized OfficialCrystal L MartinDentist/owner · (636) 227-0507
Enumeration DateApril 6, 2021
Last NPPES UpdateJune 3, 20212 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
✔ NPI 1609455633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
277 CLARKSON RD STE 100, Ellisville, MO 63011
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CRYSTAL MARTIN DDS
Clinic/Center (Dental)
277 CLARKSON RD STE 100
ELLISVILLE, MO 63011
St. Louis County (636) 227-0507

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 Martin Dds LLC's NPI number?

The NPI number for Crystal Martin Dds LLC is 1609455633. It was assigned to this organization in the NPPES registry on April 6, 2021.

Where is Crystal Martin Dds LLC located?

Crystal Martin Dds LLC is located at 277 Clarkson Rd Ste 100, Ellisville, MO 63011. The listed phone number is (636) 227-0507.

What is Crystal Martin Dds LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Crystal Martin Dds LLC was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.