OrganizationActive
Crystal Martin DDS
NPI 1992381594 · Dental Clinic/Center · Ellisville, MO
Provider details
- NPI number
- 1992381594
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Crystal Martin, Owner/Dentist(636) 227-0507
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 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
277 Clarkson Rd Ste 100
Ellisville, MO 63011-2280
Registry dates
- Enumerated
- 2021-03-23
- Last updated
- 2021-05-18
- Certified
- 2021-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.