| Crystal Martin Dds | |
|
277 Clarkson Rd Ste 100 Ellisville MO 63011-2280 | |
| (636) 227-0507 | |
| (636) 591-0032 |
| Full Name | Crystal Martin Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 277 Clarkson Rd Ste 100, Ellisville, Missouri |
| Authorized Official Name and Position | Crystal Lucille Martin (OWNER/DENTIST) |
| Authorized Official Contact | 6362270507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Martin Dds 277 Clarkson Rd Ste 100 Ellisville MO 63011-2280 Ph: (636) 227-0507 | Crystal Martin Dds 277 Clarkson Rd Ste 100 Ellisville MO 63011-2280 Ph: (636) 227-0507 |
| NPI Number | 1992381594 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992381594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
16111 Manchester Road, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 428 Old State Rd., Ellisville, MO 63021 Phone: 636-391-6030 Fax: 636-527-8386 | |
E. Glenn Glassman, D.d.s. Pc Dba Orthocare Systems Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15925 Manchester Rd, Ellisville, MO 63011 Phone: 636-394-3660 Fax: 636-394-3519 | |
Ries Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ozark Trail Dr, Suite 100, Ellisville, MO 63011 Phone: 636-230-6100 | |
Jay F. Hauser, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Hutchinson Rd, Ellisville, MO 63011 Phone: 636-391-0122 Fax: 636-391-0185 | |
Michael S Cherre Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Ozark Trail Dr, Ste 3, Ellisville, MO 63011 Phone: 636-391-9170 Fax: 636-227-7350 | |
Andrew G. Mitchell, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15991 Manchester Rd, Ellisville, MO 63011 Phone: 636-227-6945 | |
Crystal Martin Dds Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 277 Clarkson Rd Ste 100, Ellisville, MO 63011 Phone: 636-227-0507 Fax: 636-591-0032 |