C&M DENTAL PLLC
NPI 1689461840
Clinic/Center - Dental in Crystal, MN

Active since April 22, 2025
5640 W BROADWAY AVE, CRYSTAL, MN 55428(763) 537-3655 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About C&m Dental Pllc NPPES

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

C&M DENTAL PLLC (NPI 1689461840), doing business as Crystal Dental Care, is a healthcare organization registered as a dental in Crystal, Minnesota and active in the NPI registry since April 2025. The organization lists Mario Alberto Olguin Medina, Dentist, as its authorized official.

NPPES Registry Identity

NPI1689461840
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameC&M DENTAL PLLC
Location Address5640 W BROADWAY AVECrystal, MN 55428-3556
Mailing Address5640 W Broadway AveCrystal, MN 55428-3556 · (763) 537-3655
Organization SubpartNo
Authorized OfficialMario Alberto Olguin MedinaDentist · (763) 537-3655
Enumeration DateApril 22, 2025
NPPES CertifiedApril 22, 2025
NPI 1689461840 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

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
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

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 C&m Dental PLLC's NPI number?

The NPI number for C&m Dental PLLC is 1689461840. It was assigned to this organization in the NPPES registry on April 22, 2025. The provider is doing business as Crystal Dental Care.

Where is C&m Dental PLLC located?

C&m Dental PLLC is located at 5640 W Broadway Ave, Crystal, MN 55428. The listed phone number is (763) 537-3655.

What is C&m Dental PLLC'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 C&m Dental PLLC was last updated on April 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.