OrganizationActive
Crystal Martin DDS LLC
NPI 1609455633 · General Practice Dentistry · Ellisville, MO
Crystal Martin DDS LLC is a General Practice Dentistry organization in Ellisville, MO (NPI 1609455633).
Provider details
- NPI number
- 1609455633
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Crystal Martin, Dentist/Owner(636) 227-0507
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
277 Clarkson Rd Ste 100
Ellisville, MO 63011-2280
Phone: (636) 227-0507
Fax: (636) 591-0032
Street-level locationGet directions
Mailing address
331 Portico Ct
Chesterfield, MO 63017-2536
Registry dates
- Enumerated
- 2021-04-06
- Last updated
- 2021-06-03
- Certified
- 2021-06-02
Frequently asked questions
- What is Crystal Martin DDS LLC's NPI number?
- Crystal Martin DDS LLC's National Provider Identifier (NPI) is 1609455633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crystal Martin DDS LLC?
- Crystal Martin DDS LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Crystal Martin DDS LLC located?
- Crystal Martin DDS LLC's practice location on file with NPPES is 277 Clarkson Rd Ste 100, Ellisville, MO 63011-2280.
- What is Crystal Martin DDS LLC's phone number?
- The practice phone number listed in the NPPES registry for Crystal Martin DDS LLC is (636) 227-0507.
- Who is the authorized official for Crystal Martin DDS LLC?
- The authorized official listed on Crystal Martin DDS LLC's NPPES record is Crystal Martin, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crystal Martin DDS LLC's NPI active?
- Yes — Crystal Martin DDS LLC's NPI (1609455633) is active in the NPPES registry as of the last update on 2021-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.