CRYSTAL MARTIN DDS NPI 1992381594

NPI Information

NPI: 1992381594
Provider Name: CRYSTAL MARTIN DDS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
277 CLARKSON RD STE 100
ELLISVILLE, MO
ZIP 63011
Phone: (636) 227-0507
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CRYSTAL MARTIN DDS is a dental clinic center in Ellisville, MO. CRYSTAL MARTIN DDS NPI is 1992381594. The provider is registered as an organization entity type.

The provider's business location address is:

277 CLARKSON RD STE 100
ELLISVILLE, MO
ZIP 63011-280
Phone: (636) 227-0507
Fax: (636) 591-0032

The provider's authorized official is Crystal Lucille Martin .
The authorized official title is Owner/dentist and has the following contact phone number (636) 227-0507.

The enumeration date for this NPI number is 3/23/2021 and was last updated on 5/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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