IndividualActive
Crystal Martin, D.D.S.
NPI 1396758793 · General Practice Dentistry · Ellisville, MO
Provider details
- NPI number
- 1396758793
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 15403 (MO)
Specialties & taxonomies
Dental Providers
Practice location
277 Clarkson Rd, Ste 100
Ellisville, MO 63011
Phone: (636) 227-0507
Fax: (636) 591-0032
Approximate (ZIP-level) locationGet directions
Mailing address
277 Clarkson Rd, Ste 100
Ellisville, MO 63011
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2016-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.