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CRYSTAL MARTIN DDS
NPI 1992381594
Clinic/Center - Dental in Ellisville, MO

Active since March 23, 2021
277 CLARKSON RD STE 100, ELLISVILLE, MO 63011(636) 227-0507(636) 591-0032 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2021, Mar 23, 2021 (2 updates tracked since 2021).

About Crystal Martin Dds NPPES

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

CRYSTAL MARTIN DDS (NPI 1992381594) is a healthcare organization registered as a dental in Ellisville, Missouri and active in the NPI registry since March 2021. The organization lists Crystal Lucille Martin, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1992381594
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCRYSTAL MARTIN DDS
Location Address277 CLARKSON RD STE 100Ellisville, MO 63011-2280
Mailing Address277 Clarkson Rd Ste 100Ellisville, MO 63011-2280 · (636) 227-0507 · Fax (636) 591-0032
Phone(636) 227-0507
Fax(636) 591-0032
Organization SubpartNo
Authorized OfficialCrystal Lucille MartinOwner/dentist · (636) 227-0507
Enumeration DateMarch 23, 2021
Last NPPES UpdateMay 18, 20212 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1992381594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
277 CLARKSON RD STE 100, Ellisville, MO 63011
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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.

CRYSTAL MARTIN DDS LLC
Dentist (General Practice)
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's NPI number?

The NPI number for Crystal Martin Dds is 1992381594. It was assigned to this organization in the NPPES registry on March 23, 2021.

Where is Crystal Martin Dds located?

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

What is Crystal Martin Dds'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 Martin Dds was last updated on May 18, 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.